Organization
CORINE'S CARE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WATOANAR FLANAGAN (PRESIDENT)
(252) 747-5705
Entity
Organization
Contact information
Practice address
369 B C HIGHWAY 13 SOUTH, SNOW HILL, NC 28580-9515
(252) 747-5705
Mailing address
55 PATRICK DR, SNOW HILL, NC 28580-9515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950446
—
NC
05
—
6006316
—
NC
05
—
6006550
—
NC
Enumeration date
03/02/2011
Last updated
03/02/2011
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