Organization
MONARCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI MANESS (CONTROLLER)
(704) 986-1523
Entity
Organization
Contact information
Practice address
12 HUMES ST, PROVIDENCE, RI 02907-3229
(401) 786-1486
Mailing address
350 PEE DEE AVE STE 101, ALBEMARLE, NC 28001-4945
(866) 272-7826
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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