Organization
CIRCLE OF COURAGE ULTIMATE SUPPORT NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA GRADY MSW (OWNER)
(910) 262-3156
Entity
Organization
Contact information
Practice address
3137 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-4111
(910) 338-0001
(910) 341-7220
Mailing address
3137 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-4111
(910) 338-0001
(910) 341-7220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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