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Organization

MONAE SUPPORTIVE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA NMN TYSON (OWNER)
(252) 757-2925
Entity
Organization

Contact information

Practice address
323 CLIFTON ST STE 15, GREENVILLE, NC 27858-5053
(252) 321-8488
(252) 321-2209
Mailing address
323 CLIFTON ST STE 15, GREENVILLE, NC 27858-5053
(252) 321-8488
(252) 321-2209

Taxonomy

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

Other

Enumeration date
02/22/2007
Last updated
08/22/2020
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