Organization
SOLID ROCK FAMILY LIFE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLISTINE SIMMONS (CHIEF EXECUTIVE OFFICER)
(252) 287-3562
Entity
Organization
Contact information
Practice address
140 W WASHINGTON ST STE 108, SUFFOLK, VA 23434-5254
(757) 539-0315
(757) 539-0317
Mailing address
123 E TELLIE LAWRENCE RD, MURFREESBORO, NC 27855-9720
(252) 287-8713
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
01/19/2023
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