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Organization

MARY REBECCA HOME, INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANNIE R. HASAN M.ED., QMHP (EXECUTIVE DIRECTOR)
(910) 482-4453
Entity
Organization

Contact information

Practice address
1200 W IOWA AVE, SOUTHERN PINES, NC 28387-4418
(910) 692-2894
(910) 482-3571
Mailing address
PO BOX 9729, FAYETTEVILLE, NC 28311-9091
(910) 692-2895
(910) 482-3571

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/18/2009
Last updated
08/18/2009
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