Organization
A PLUS RESULTS INDEPENDENT LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEDRIC WILKINS (OWNER)
(252) 793-6500
Entity
Organization
Contact information
Practice address
106 E WATER ST, PLYMOUTH, NC 27962-1330
(252) 793-6500
(252) 793-6501
Mailing address
PO BOX 685, PLYMOUTH, NC 27962-0685
(252) 793-6500
(252) 793-6501
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303264
—
NC
Enumeration date
11/09/2011
Last updated
11/09/2011
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