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Organization
UNITED MENTAL HEALTH
Active
Organization
UNITED MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK JEROME GREEN B,S (OWNER)
(910) 318-6771
Entity
Organization
Contact information
Practice address
204 QUAIL HOLLOW DR, HAMLET, NC 28345-4511
(910) 318-6771
Mailing address
204 QUAIL HOLLOW DR, HAMLET, NC 28345-4511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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