Organization
METANOIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARETTA ELLIS (CFO)
(252) 246-9177
Entity
Organization
Contact information
Practice address
2506 NASH ST N, WILSON, NC 27896-1393
(252) 246-9177
(252) 243-3489
Mailing address
PO BOX 8474, GREENVILLE, NC 27835-8474
(252) 916-9032
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/14/2009
Last updated
10/15/2009
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