Organization
STINSON DDA#2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELORES STINSON (ADMINISTRATOR)
(336) 227-7791
Entity
Organization
Contact information
Practice address
201 E HARDEN ST, GRAHAM, NC 27253-3009
(336) 227-7791
Mailing address
201 E HARDEN ST, GRAHAM, NC 27253-3009
(336) 227-7791
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MHL001080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804517
—
NC
Enumeration date
07/16/2007
Last updated
07/16/2007
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