Organization
IQUOLIOC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY CLEVELAND (PRESIDENT)
(910) 355-2000
Entity
Organization
Contact information
Practice address
675 BELL FORK RD, JACKSONVILLE, NC 28540-6315
(910) 355-2000
(910) 355-6900
Mailing address
675 BELL FORK RD, JACKSONVILLE, NC 28540-6315
(910) 355-2000
(910) 355-6900
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409548
—
NC
05
—
8301171
—
NC
Enumeration date
10/01/2007
Last updated
10/27/2007
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