Organization
GECESO BEHAVIOR INTERVENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY DELORES JONES-FORD (CEO/DIRECTOR)
(910) 425-4896
Entity
Organization
Contact information
Practice address
3411 WIPPERWILL DR, FAYETTEVILLE, NC 28306-9769
(910) 425-4896
Mailing address
3411 WIPPERWILL DR, FAYETTEVILLE, NC 28306-9769
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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