Organization
FAITH WORKS COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNIS E WILKINS (ADMINISTRATOR)
(252) 792-7855
Entity
Organization
Contact information
Practice address
3573 MAITLAND DR, RALEIGH, NC 27610-1239
(252) 792-2104
(252) 792-8320
Mailing address
PO BOX 1133, WILLIAMSTON, NC 27892-1133
(252) 792-2104
(252) 792-8320
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301724B
—
NC
Enumeration date
01/05/2007
Last updated
09/23/2010
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