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Organization
STANDING IN THE GAP OF NORTH CAROLINA, LLC
Active
Organization
STANDING IN THE GAP OF NORTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYLVESTER BERNARD COLVIN (ADMINISTRATOR)
(910) 797-3522
Entity
Organization
Contact information
Practice address
1014 HAY STREET, FAYETTEVILLE, NC 28305-5316
(910) 797-3522
(910) 488-8805
Mailing address
1014 HAY ST, FAYETTEVILLE, NC 28305-5316
(910) 321-1662
(910) 321-1664
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/03/2009
Last updated
09/10/2009
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