Organization
HOPE IN THE CAROLINA, L.L.C.
Active
Organization
HOPE IN THE CAROLINA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELTON JAMES PARKER (EXECUTIVE DIRECTOR)
(910) 916-3929
Entity
Organization
Contact information
Practice address
302 NORTH MAIN STREET, SUITE 2, KENANSVILLE, NC 28349-9019
(910) 916-3929
Mailing address
PO BOX 1576, ROSEBORO, NC 28382-1576
(910) 916-3929
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
89127KP
NC
251B00000X
Case Management Agency
Primary
8301208B
NC
251S00000X
Community/Behavioral Health Agency
8301208B
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301208B
—
NC
Enumeration date
01/23/2007
Last updated
04/28/2010
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