Organization
MIND OF HOPE COMMUNITY LIVING PROGRAM, INC
Active
Other names
Mind of Hope CLP, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN R THOMAS PHD (PRESIDENT & CEO)
(910) 441-7080
Entity
Organization
Contact information
Practice address
7190 NC HIGHWAY 11, WILLARD, NC 28478-7062
(910) 441-7080
(910) 552-5006
Mailing address
PO BOX 211, WILLARD, NC 28478-0211
(910) 441-7080
(910) 552-5006
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2926
NC
103TC0700X
Clinical Psychologist
2926
NC
Other
Enumeration date
01/14/2011
Last updated
07/15/2013
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