Organization
OPERATION BOOT STRAPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNA BINGHAM (CEO)
(336) 437-4382
Entity
Organization
Contact information
Practice address
278 E MAIN ST, YANCEYVILLE, NC 27379
(336) 437-3282
Mailing address
605 S CHURCH ST, BURLINGTON, NC 27215-3879
(336) 350-8169
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
09/14/2018
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