Organization
THE MENTOR NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA FIGNOLE (INTENSIVE IN HOME TEAM LEAD/THERAPI)
(910) 848-0650
Entity
Organization
Contact information
Practice address
116 CAMPUS AVE STE B, RAEFORD, NC 28376-2650
(910) 848-0650
(910) 848-0967
Mailing address
116 CAMPUS AVE STE B, RAEFORD, NC 28376-2650
(910) 848-0650
(910) 848-0967
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
P006011
NC
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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