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Organization

EXIGIN BEHAVIORAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SELWYN GEORGE DANIEL PA-C (OWNER)
(252) 907-8690
Entity
Organization

Contact information

Practice address
1006 W H SMITH BLVD STE B, GREENVILLE, NC 27834-5194
(252) 907-8690
Mailing address
1105 SPRING FOREST DR, ROCKY MOUNT, NC 27803-1414
(252) 907-8690

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
103165
NC

Other

Enumeration date
04/15/2014
Last updated
04/15/2014
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