Organization
HAROLD RANDOLPH
Active
Other names
AGAPE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HAROLD RANDOLPH LCAS-A (OWNER)
(252) 916-3173
Entity
Organization
Contact information
Practice address
902 COLONIAL AVE, GREENVILLE, NC 27834-1825
(252) 916-3173
Mailing address
902 COLONIAL AVE, GREENVILLE, NC 27834-1825
(252) 916-3173
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
21160
NC
Other
Enumeration date
02/07/2015
Last updated
02/07/2015
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