Organization
HOPEWELL SUPERVISED LIVING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCIANA LEWIS BA, QP (AGENCY DIRECTOR)
(252) 443-8200
Entity
Organization
Contact information
Practice address
3216 ZEBULON RD, ROCKY MOUNT, NC 27804-2435
(252) 443-6727
Mailing address
3216 ZEBULON RD, ROCKY MOUNT, NC 27804-2435
(252) 443-8200
(252) 443-6727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL0640154
NC
Other
Enumeration date
04/12/2017
Last updated
06/26/2017
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