Organization
MQA SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE LEVINE (CEO)
(202) 658-6337
Entity
Organization
Contact information
Practice address
233 WESTCHESTER RD, WILMINGTON, NC 28409-8509
(202) 658-6337
Mailing address
233 WESTCHESTER RD, WILMINGTON, NC 28409-8509
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251S00000X
NC
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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