Organization
GODS CHILD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMANI MARIE REYNOLDS (OWNER)
(252) 320-8006
Entity
Organization
Contact information
Practice address
1088 ALLEN RD APT 1D, GREENVILLE, NC 27834-9206
(252) 320-8006
Mailing address
1088 ALLEN RD APT 1D, GREENVILLE, NC 27834-9206
(252) 320-8006
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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