Organization
CMS AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY SUE SEGURA B.S. PSYCHOLOGY (OWNER)
(910) 865-9299
Entity
Organization
Contact information
Practice address
408 W. ARMFILED ST., ST. PAULS, NC 28384-1526
(910) 865-9299
(910) 865-9298
Mailing address
408 W. ARMFILED ST., ST. PAULS, NC 28384-1526
(910) 865-9299
(910) 865-9298
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418028
—
NC
05
—
8300081
—
NC
Enumeration date
12/08/2006
Last updated
11/02/2012
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