Organization
EDEN BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE D GRAY (OWNER/CEO)
(919) 824-7326
Entity
Organization
Contact information
Practice address
414 W VILLAGE DR, GREENVILLE, NC 27834-3727
(919) 824-7326
Mailing address
414 W VILLAGE DR, GREENVILLE, NC 27834-3727
(919) 824-7326
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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