Organization
COLEMAN CHILD AND FAMILY SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER KING COLEMAN PH.D. (PRESIDENT)
(910) 343-8424
Entity
Organization
Contact information
Practice address
1907 S 17TH ST STE 1, WILMINGTON, NC 28401-6680
(910) 343-8424
(910) 343-6989
Mailing address
1907 S 17TH ST STE 1, WILMINGTON, NC 28401-6680
(910) 343-8424
(910) 343-6989
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2808
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000297
—
NC
Enumeration date
11/26/2007
Last updated
11/26/2007
Update your record
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