Organization
CAROLINA COLLABORATIVE COMMUNITY CARE, INC
Active
Other names
Carolina Collaborative Community Care (4C)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELANO K. MILLER D.MIN., M.DIV., M.A. (EXECUTIVE DIRECTOR)
(910) 487-8451
Entity
Organization
Contact information
Practice address
225 GREEN ST STE 1006, FAYETTEVILLE, NC 28301-1700
(910) 485-1250
Mailing address
225 GREEN ST STE 1006, FAYETTEVILLE, NC 28301-1700
(910) 485-1250
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/27/2023
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