Organization
I CAN & ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON BATTLE M.A (DIRECTOR, OWNER)
(910) 860-9787
Entity
Organization
Contact information
Practice address
7237 GODFREY DR, FAYETTEVILLE, NC 28303-2425
(910) 860-9787
Mailing address
PO BOX 25433, FAYETTEVILLE, NC 28314-5007
(910) 860-9787
(910) 860-3903
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-026-597
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603161
—
NC
Enumeration date
02/15/2008
Last updated
02/15/2008
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