Organization
A UNITED COMMUNITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA STEPHENS BRADLEY (EXECUTIVE DIRECTOR)
(919) 912-1209
Entity
Organization
Contact information
Practice address
110 LAKE POINT DR, CLAYTON, NC 27527-5218
(919) 912-1209
Mailing address
105 LAKE POINT DR, CLAYTON, NC 27527-5217
(919) 912-1209
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410096
—
NC
05
—
8703098
—
NC
Enumeration date
11/19/2010
Last updated
08/08/2023
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