Organization
INTREPID SPIRIT CONCUSSION RECOVERY CENTER
Active
Parent organization
NAVAL MEDICAL CENTER CAMP LEJEUNE
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL MEDICAL CENTER CAMP LEJEUNE
Authorized official
WILLIAM M CONDON (UBO MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 449-1100
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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