Organization
HEART TO HEART SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENA ALSTON DICKENS (OWNER)
(252) 266-8049
Entity
Organization
Contact information
Practice address
4212 FAIRHAVEN DR, ROCKY MOUNT, NC 27803-1178
(252) 266-8049
Mailing address
4212 FAIRHAVEN DR, ROCKY MOUNT, NC 27803-1178
(252) 266-8049
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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