Organization
INTENTIONAL INTERVENTION, INC.
Active
Organization
INTENTIONAL INTERVENTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA J. DIDWAY (EXECUTIVE DIRECTOR)
(828) 413-5421
Entity
Organization
Contact information
Practice address
1329 SALEM RD, MORGANTON, NC 28655-4835
(828) 437-5901
(828) 437-8419
Mailing address
PO BOX 655, DREXEL, NC 28619-0655
(828) 413-5421
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6458
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103474
—
NC
Enumeration date
03/19/2009
Last updated
03/19/2009
Update your record
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