Organization
FULL POTENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME JOHNSON MSW, PLCSW (DIRECTOR)
(910) 860-3855
Entity
Organization
Contact information
Practice address
308 HAY ST STE D, FAYETTEVILLE, NC 28301-5574
(910) 860-3855
Mailing address
PO BOX 25681, FAYETTEVILLE, NC 28314-5011
(910) 860-3855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
About Stedi
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