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Organization

S MARTIN LLC

Active
Other names
Inner Wealth Residential
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON MARTIN (OWNER)
(919) 201-1626
Entity
Organization

Contact information

Practice address
2 ISAACS WAY, DURHAM, NC 27713-3465
(919) 688-1830
Mailing address
209 KINDLEWOOD DR, DURHAM, NC 27703-6612
(919) 201-1626
(919) 794-4781

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
NC

Other

Enumeration date
04/05/2008
Last updated
04/05/2008
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