Organization
TRADING PLACES ENRICHMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILTON EARL MOORE JR. BS (ECECUTIVE DIRECTOR)
(252) 367-0918
Entity
Organization
Contact information
Practice address
216 WILSON ST, WILLIAMSTON, NC 27892-2354
(252) 792-2301
(252) 661-4578
Mailing address
216 WILSON ST, WILLIAMSTON, NC 27892-2354
(252) 792-2301
(252) 661-4578
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
058031
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604148
—
NC
05
—
6604298
—
NC
Enumeration date
03/31/2009
Last updated
03/31/2009
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