Organization
BURLINESS ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERANDA MICHELLE KNIGHT LCAS-A (VICE PRESIDENT/COUNSELOR)
(252) 969-0752
Entity
Organization
Contact information
Practice address
1857 J P RD, WHITAKERS, NC 27891-9189
(252) 969-0752
(252) 303-5484
Mailing address
1857 J P RD, WHITAKERS, NC 27891-9189
(252) 969-0752
(252) 303-5484
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083255137
—
NC
Enumeration date
07/26/2021
Last updated
07/26/2021
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