Organization
C&M BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STACIE MICHELLE MEDLIN LSW (OWNER/PRESIDENT)
(252) 578-1986
Entity
Organization
Contact information
Practice address
1704 HIGHWAY 158, ROANOKE RAPIDS, NC 27870
(252) 537-2273
(252) 537-2278
Mailing address
1704 HIGHWAY 158, ROANOKE RAPIDS, NC 27870
(252) 537-2273
(252) 537-2278
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C008329
NC
Other
Enumeration date
09/19/2013
Last updated
02/13/2014
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