Organization
TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Active
Organization
TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Active
Other names
CommWell House - Angelic House
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C ELLISON (REVENUE CYCLE MANAGER)
(910) 567-7065
Entity
Organization
Contact information
Practice address
1206 E WALNUT ST, GOLDSBORO, NC 27530-5161
(919) 735-1531
(910) 567-5022
Mailing address
PO BOX 340, FOUR OAKS, NC 27524-0340
(919) 735-1531
(910) 567-5022
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2010
Last updated
04/20/2022
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