Organization
INNOVATIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS M ROBERSON (PRESIDENT)
(252) 916-9018
Entity
Organization
Contact information
Practice address
709 PLAZA BLVD, KINSTON, NC 28501-1515
(252) 916-9018
Mailing address
PO BOX 350, GREENVILLE, NC 27835-0350
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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