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Organization

UMOJA BEHAVIORAL HEALTH CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LILLENE NATHAN (CEO)
(770) 912-4814
Entity
Organization

Contact information

Practice address
108 TUCKASEEGE RD, MT HOLLY, NC 28120-1948
(704) 827-1968
(704) 827-1970
Mailing address
108 TUCKASEEGE RD, MT HOLLY, NC 28120-1948
(770) 912-4814
(478) 285-4575

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
NC

Other

Enumeration date
12/11/2007
Last updated
02/12/2008
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