Organization
QUEENS GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. EKELEKAMCHUKWU ALPHONSUS NGWADOM LCMHC (CEO)
(919) 247-2312
Entity
Organization
Contact information
Practice address
601 EASTERN AVE, ROCKY MOUNT, NC 27801-5856
(919) 247-2312
(919) 329-7640
Mailing address
295 ADAMS POINT DR, GARNER, NC 27529-6507
(919) 247-2312
(919) 329-7640
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
04/02/2023
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