Organization
CIRCLE OF COURAGE OF BRUNSWICK CO., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LARONDA Y WOODS (OWNER)
(910) 338-0001
Entity
Organization
Contact information
Practice address
3205 RANDALL PKWY, SUITE 207, WILMINGTON, NC 28403-2564
(910) 338-0001
(910) 341-7220
Mailing address
3205 RANDALL PKWY, SUITE 207, WILMINGTON, NC 28403-2564
(910) 338-0001
(910) 341-7220
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
010059
NC
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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