Organization
E SQUARED COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY LEAK (PRESIDENT)
(919) 218-7161
Entity
Organization
Contact information
Practice address
126 N MAIN ST, WARRENTON, NC 27589-1922
(919) 340-1677
(919) 340-1678
Mailing address
5022 ISABELLA CANNON DR, RALEIGH, NC 27612-4804
(919) 340-1677
(919) 340-1678
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301695
—
NC
Enumeration date
03/03/2011
Last updated
04/11/2011
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