Organization
EPIC SUPPORTS AND SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTINE SMITH TAYLOR (DIRECTOR)
(252) 341-2397
Entity
Organization
Contact information
Practice address
99 N MAIN ST, 2ND FLOOR OFFICE #1, TARBORO, NC 27886-5056
(252) 641-1620
Mailing address
602 CIRCLE DR, GREENVILLE, NC 27858-8508
(252) 341-2397
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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