Organization
THE LAUNCH PAD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORALIE GRIGAS (ADMINISTRATIVE)
(910) 769-6053
Entity
Organization
Contact information
Practice address
3121 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-4111
(910) 769-6053
Mailing address
1105 MERCHANT LN, CAROLINA BEACH, NC 28428-4716
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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