Organization
WELLNESS INSTITUTE FOR COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY ALLEN PAYLOR (DIRECTOR)
(252) 438-9517
Entity
Organization
Contact information
Practice address
26 MALONES WAY, KITTRELL, NC 27544-9159
(252) 438-9517
(919) 496-2906
Mailing address
26 MALONES WAY, KITTRELL, NC 27544-9159
(252) 438-9517
(919) 496-2906
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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