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Organization
NATIVE AMERICAN INTERFAITH MINISTRIES
Active
Organization
NATIVE AMERICAN INTERFAITH MINISTRIES
Active
Other names
The Healing Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY VINCENT LOCKLEAR (EXECUTIVE DIRECTOR)
(910) 522-0900
Entity
Organization
Contact information
Practice address
450 PROSPECT ROAD, PEMBROKE, NC 28372
(910) 522-0900
Mailing address
PO BOX 1695, PEMBROKE, NC 28372-1695
(910) 522-0900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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