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Organization
POTTER'S HOUSE OF BEAUFORT COUNTY, INC.
Active
Organization
POTTER'S HOUSE OF BEAUFORT COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA WOOLARD (OWNER/DIRECTOR)
(252) 946-6390
Entity
Organization
Contact information
Practice address
319 E 11TH ST, WASHINGTON, NC 27889-3716
(252) 946-6390
(252) 946-3847
Mailing address
405 N MARKET ST, WASHINGTON, NC 27889-4935
(252) 946-6390
(252) 946-3847
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL 007 031
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603383
—
NC
Enumeration date
09/06/2007
Last updated
09/06/2007
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