Individual
CHELEVIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 JAMESTOWN CT, CARY, NC 27511-4912
(919) 526-7963
(919) 481-2003
Mailing address
PO BOX 443, FRANKLINTON, NC 27525-0443
(919) 526-7963
(919) 481-2003
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-092-816
NC
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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