Organization
EAGLEMERELIVINGFACILITY
Active
Other names
na
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE BROWN JR. NA (CO-OWNER)
(252) 907-4805
Entity
Organization
Contact information
Practice address
200 EAGLES MERE TRL, ROCKY MOUNT, NC 27804-8850
(252) 442-4209
Mailing address
200 EAGLES MERE TRL, ROCKY MOUNT, NC 27804-8850
(252) 442-4209
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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