Organization
CRANDELL'S ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN MAYO (DIRECTOR)
(919) 790-6739
Entity
Organization
Contact information
Practice address
105 AVERY ST, GARNER, NC 27529-3133
(919) 900-8918
Mailing address
5312 SIX FORKS RD, 301, RALEIGH, NC 27609-4458
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL 092-861
NC
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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