Organization
E SQUARED COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY LEAK (PRESIDENT)
(919) 218-7161
Entity
Organization
Contact information
Practice address
231 W PENNSYLVANIA AVE, SOUTHERN PINES, NC 28387-5430
(910) 814-2134
(910) 893-4731
Mailing address
PO BOX 388, LILLINGTON, NC 27546-0388
(910) 814-2134
(910) 893-4731
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301695
—
NC
05
—
8303123
—
NC
05
—
8303123V
—
NC
Enumeration date
08/27/2010
Last updated
11/17/2010
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