Organization
A MADE UP MIND INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NYIA MCGHEE JOHNSON (PRESIDENT/CEO)
(919) 224-9612
Entity
Organization
Contact information
Practice address
156 PLAINVIEW POINTE DR, ANGIER, NC 27501-9766
(919) 224-9612
(919) 224-9612
Mailing address
PO BOX 1911, ANGIER, NC 27501-1911
(919) 224-9612
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NC
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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