Organization
EARLY ADOLESCENT INTERVENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAMELYA ENGLAND (DIRECTOR/CEO)
(252) 258-3000
Entity
Organization
Contact information
Practice address
3175 BOARDWALK LN, APT. 6, GREENVILLE, NC 27834-6196
(252) 258-3000
Mailing address
3175 BOARDWALK LN, APT. 6, GREENVILLE, NC 27834-6196
(252) 258-3000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/20/2009
Last updated
08/12/2014
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