Organization
LEE COMMUNITY SUPPORT AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRTLE LEE BURDEN (CEO, DIRECTOR, QUALIFIED PROFESSION)
(252) 825-3314
Entity
Organization
Contact information
Practice address
149 W RAILROAD ST, BETHEL, NC 27812-7812
(252) 325-5668
Mailing address
213 W RAILROAD ST, PO BOX 1146, BETHEL, NC 27812-7812
(252) 325-5668
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
10/07/2008
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