Organization
BROTHERS COMMUNITY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE MARCELLUS (OWNER)
(919) 528-4900
Entity
Organization
Contact information
Practice address
106 W CHURCH ST STE B, CREEDMOOR, NC 27522-9765
(919) 528-4900
(919) 528-1234
Mailing address
2556 MINT JULEP DR, CREEDMOOR, NC 27522-7817
(919) 528-4900
(919) 528-1234
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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