Organization
BERACHAH MINISTRY
Active
Other names
ENRICHED HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA BULLOCK-BLOUNT (OWNER)
(252) 317-2006
Entity
Organization
Contact information
Practice address
1709 EVANS ST, SUITE E, GREENVILLE, NC 27834-5772
(252) 317-2006
(252) 294-1137
Mailing address
1709 EVANS ST, SUITE E, GREENVILLE, NC 27834-5772
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
888465
NC
Other
Enumeration date
02/12/2011
Last updated
02/14/2011
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