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Organization

MAV INTERVENTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA JANE CALDWELL BA, JD (PARTNER)
(910) 565-2522
Entity
Organization

Contact information

Practice address
109 OAKWOOD AVE, RAEFORD, NC 28376-3351
(910) 565-2522
(888) 848-1195
Mailing address
PO BOX 399, RAEFORD, NC 28376-0399
(910) 565-2522
(888) 848-1195

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
09/09/2008
Last updated
01/03/2011
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