Organization
IQUOLIOC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY CLEVELAND (PRESIDENT)
(910) 355-2000
Entity
Organization
Contact information
Practice address
675 BELL FORK RD, JACKSONVILLE, NC 28540-6315
(910) 355-2000
(910) 355-3047
Mailing address
675 BELL FORK RD, JACKSONVILLE, NC 28540-6315
(910) 355-2000
(910) 355-3047
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0700012694
NC
251S00000X
Community/Behavioral Health Agency
0700012694
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409548
—
NC
05
—
8301171
—
NC
05
—
8301171B
—
NC
Enumeration date
02/26/2008
Last updated
02/26/2008
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