Organization
MARY REBECCA HOME INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE R. HASAN M.ED., QMHP (EXECUTIVE DIRECTOR)
(910) 482-3513
Entity
Organization
Contact information
Practice address
8138 TURKEY HWY, TURKEY, NC 28393-8463
(910) 482-3513
(910) 482-3571
Mailing address
PO BOX 9729, FAYETTEVILLE, NC 28311-9091
(910) 482-3513
(910) 482-3571
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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