Organization
SOPHIA B PIERCE & ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIA BLANKS PIERCE PHD (EXECUTIVE DIRECTOR)
(910) 488-8477
Entity
Organization
Contact information
Practice address
1909 STANBERRY PLACE, FAYETTEVILLE, NC 28301
(910) 488-7436
(910) 822-1951
Mailing address
PO BOX 2813, FAYETTEVILLE, NC 28302
(910) 488-8477
(910) 822-1951
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
MHL-026-299
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL026299
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H41590
—
NC
Enumeration date
09/14/2007
Last updated
12/03/2018
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