Organization
MALACHI BEHAVIORAL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNETTE MONIQUE GRAY (CEO)
(910) 353-7600
Entity
Organization
Contact information
Practice address
55 RIEGEL DR, HUBERT, NC 28539-4468
(910) 353-7600
Mailing address
200 VALENCIA DR, 102&103, JACKSONVILLE, NC 28546-6311
(910) 353-7600
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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