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Organization

LIVING YOUR DREAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARQUITA BELL (PRESIDENT)
(252) 916-6892
Entity
Organization

Contact information

Practice address
664 STRATFORD BLVD, KINSTON, NC 28504-9647
(252) 686-5192
Mailing address
PO BOX 350, GREENVILLE, NC 27835-0350

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/12/2011
Last updated
09/17/2018
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