Organization
VANESSA MCNEILL
Active
Other names
New Journey
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA MCNEILL (CEO)
(910) 876-7256
Entity
Organization
Contact information
Practice address
510 PETERSON DR, LUMBERTON, NC 28358-2600
(910) 876-7256
Mailing address
510 PETERSON DR, LUMBERTON, NC 28358-2600
(910) 876-7256
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50884
MENTAL HEALTH/ SUBSTANCE ABUSE
NC
Enumeration date
09/12/2018
Last updated
09/12/2018
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