Organization
INNER PEACE LIFE DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA DENISE MORRIS BSW (PROGRAM DIRECTOR/QMHP)
(910) 474-6253
Entity
Organization
Contact information
Practice address
1618 W 5TH ST, LUMBERTON, NC 28358-5430
(910) 474-6253
Mailing address
1618 W 5TH ST, LUMBERTON, NC 28358-5430
(910) 474-6253
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-078-215
NC
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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