Organization
H.O.M.E. HEARTFELT OUTREACH MENTORING ENRICHMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIA BUGGS (CEO)
(336) 477-4741
Entity
Organization
Contact information
Practice address
139 MORNING GLORY CIR APT 204, MOCKSVILLE, NC 27028-4426
(336) 477-4741
Mailing address
139 MORNING GLORY CIR APT 204, MOCKSVILLE, NC 27028-4426
(336) 477-4741
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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