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Organization

PHP OF NC,INC

Active
Parent organization
PHP OF NC, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHP OF NC, INC
Authorized official
MRS. JUSTINE WIGGINS (CEO)
(919) 220-0021
Entity
Organization

Contact information

Practice address
700 PONY RD STE B, ZEBULON, NC 27597-2656
(919) 375-4702
(919) 375-4838
Mailing address
700 PONY RD STE B, ZEBULON, NC 27597-2656
(919) 375-4702
(919) 375-4838

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
08/02/2013
Last updated
08/02/2013
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