Organization
INVINCIBLE COMMUNITY BASED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA LAVERNE MACKLIN B.S. (OWNER; QUALIFIED PROFESSIONAL)
(252) 541-1576
Entity
Organization
Contact information
Practice address
1015 ROANOKE AVE STE A, ROANOKE RAPIDS, NC 27870-3721
(252) 541-1576
(252) 541-1577
Mailing address
1015 ROANOKE AVE STE A, ROANOKE RAPIDS, NC 27870-3721
(252) 541-1576
(252) 541-1577
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C200815700098
NC
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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