Organization
BROTHERS COMMUNITY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALETHEA S MARCELLUS MS,PSYCH, ACAS, ITFS (DEVELOPMENTAL THERAPIST)
(919) 609-8160
Entity
Organization
Contact information
Practice address
2556 MINT JULEP DR, CREEDMOOR, NC 27522-7817
(919) 609-8160
(919) 609-8160
Mailing address
2556 MINT JULEP DR, CREEDMOOR, NC 27522-7817
(919) 609-8160
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/03/2017
Last updated
05/19/2020
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