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Organization

JABEZ MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHARON RENE'E SELLARS-WILSON (OWNER/PRESIDENT)
(336) 349-7676
Entity
Organization

Contact information

Practice address
122 N MAIN ST, REIDSVILLE, NC 27320-2902
(336) 349-7676
Mailing address
PO BOX 1404, REIDSVILLE, NC 27323-1404
(336) 349-7676

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-079-099
NC

Other

Enumeration date
03/09/2009
Last updated
03/09/2009
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