Organization
MALACHI BEHAVIORAL HEATHCARE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNETTE MONIQUE GRAY (CEO)
(910) 353-7600
Entity
Organization
Contact information
Practice address
205 W BAYSHORE BLVD, JACKSONVILLE, NC 28540-5339
(910) 353-7600
Mailing address
200 VALENCIA DR, SUITE 102&103, JACKSONVILLE, NC 28546-6311
(910) 353-7600
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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