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Organization
PHYSICIAN ALLIANCE OF MENTAL HEALTH
Active
Organization
PHYSICIAN ALLIANCE OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE LINETTE YOUNG LCSWA (INTENSIVE IN HOME TEAM LEAD)
(910) 794-3929
Entity
Organization
Contact information
Practice address
3208 OLEANDER DRIVE, WILMINGTON, NC 28408-5511
(910) 794-3929
Mailing address
PO BOX 15511, WILMINGTON, NC 28408-5511
(910) 794-3929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P008312
NC
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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