Organization
I FIT OUT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVETTE V WARD SMITH (PRESIDENT)
(910) 370-0018
Entity
Organization
Contact information
Practice address
511 MARTIN LUTHER KING JR DR, LUMBERTON, NC 28358-5443
(910) 370-0018
(919) 820-8551
Mailing address
511 MARTIN LUTHER KING JR DR, LUMBERTON, NC 28358-5443
(910) 370-0018
(919) 820-8551
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
12/27/2022
Last updated
01/15/2026
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