Organization
AVALON COMMUNITY AND PERSONAL DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HEREK QMHP (DIRECTOR)
(757) 272-3415
Entity
Organization
Contact information
Practice address
405 WILLIAMS STREET, MURFREESBORO, NC 27855
(757) 272-3415
Mailing address
405 WILLIAMS ST, MURFREESBORO, NC 27855-1342
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NC
Other
Enumeration date
03/16/2018
Last updated
04/10/2018
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