Organization
EARLY ADOLESCENT INTERVENTIONS SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAMELYA ENGLAND WATSON BA, QP (CEO)
(252) 724-2319
Entity
Organization
Contact information
Practice address
101 E MAIN STREET, SPRING HOPE, NC 27882-1384
(252) 724-2319
Mailing address
101 E MAIN STREET, SPRING HOPE, NC 27882-1384
(252) 724-2319
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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