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Organization
ELLIS CONSULTING AND ASSOCIATES
Active
Organization
ELLIS CONSULTING AND ASSOCIATES
Active
Parent organization
CROSSROADS HEALTHCARE ALLIANCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSSROADS HEALTHCARE ALLIANCE
Authorized official
DR. DUKE E ELLIS II (CEO)
(910) 286-1991
Entity
Organization
Contact information
Practice address
778 HOFFMAN ROAD, JACKSON SPRINGS, NC 27281
(910) 848-0023
(910) 848-0026
Mailing address
4989 ROCKFISH RD, RAEFORD, NC 28376-8355
(910) 848-0023
(910) 848-0026
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
MHL-063-085
NC
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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