Organization
D.GIBSON & ASSOCIATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNE GIBSON (OWNER)
(910) 423-8816
Entity
Organization
Contact information
Practice address
2901 BAKERS MILL RD, FAYETTEVILLE, NC 28306-8273
(910) 423-8816
(910) 423-8816
Mailing address
2901 BAKERS MILL RD, FAYETTEVILLE, NC 28306-8273
(910) 423-8816
(910) 423-8816
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409525
—
NC
Enumeration date
03/01/2007
Last updated
08/22/2020
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