Organization
J-JIREH OUTREACH, INC
Active
Other names
The Jordan Group, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEIDRE O WILSON (CEO)
(252) 413-9360
Entity
Organization
Contact information
Practice address
1951A CAMBRIA DR, GREENVILLE, NC 27834-0094
(252) 413-9360
(252) 321-0054
Mailing address
1951A CAMBRIA DR, GREENVILLE, NC 27834-0094
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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