Individual
MR. DAVID H CRUDUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1009 ALBEMARLE CT, NEW BERN, NC 28562-2502
(252) 288-4393
Mailing address
2737 OLD US HIGHWAY 64, SPRING HOPE, NC 27882-9654
(252) 478-8095
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-025-211
NC
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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