Organization
BYNUM'S PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOORE HAMPTON BYNUM (CEO)
(252) 915-9174
Entity
Organization
Contact information
Practice address
131 BYNUM PL, NORLINA, NC 27563-9139
(252) 257-0149
Mailing address
131 BYNUM PL, NORLINA, NC 27563-9139
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603679
—
NC
Enumeration date
02/13/2007
Last updated
08/22/2020
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