Organization
CLOVER COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARCIA L MORMAN (CEO)
(910) 461-9955
Entity
Organization
Contact information
Practice address
627 E BROAD AVE, ROCKINGHAM, NC 28379-3758
(910) 461-9955
Mailing address
222 S RANDOLPH ST APT 2, ROCKINGHAM, NC 28379-3600
(910) 461-9955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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