Organization
COLLABORATIVE COMMUNITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE SMITH (MANAGER)
(910) 431-2996
Entity
Organization
Contact information
Practice address
1508 MILITARY CUTOFF RD, SUITE 302, WILMINGTON, NC 28403-5730
(910) 431-2996
Mailing address
609 SHIPYARD BLVD, # 106, WILMINGTON, NC 28412-6562
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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