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Organization

EXCEL OUTREACH AND SUPPORTIVE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARITA LAWSON (CEO)
(910) 409-8476
Entity
Organization

Contact information

Practice address
1503 DENIM DR STE 101, ERWIN, NC 28339-3017
(910) 409-8476
Mailing address
1503 DENIM DR STE 101, ERWIN, NC 28339-3017

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/25/2011
Last updated
08/25/2011
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