Organization
LILLIES PLACE 2
Active
Organization
LILLIES PLACE 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRY D CRISP (OWNER)
(336) 350-4866
Entity
Organization
Contact information
Practice address
121 HAZEL DR, BURLINGTON, NC 27217-8311
(336) 350-4866
Mailing address
121 HAZEL DR, BURLINGTON, NC 27217-8311
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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