Organization
ELITE PROFESSINAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEVITA RENAE PHELPS (CEO)
(252) 793-9991
Entity
Organization
Contact information
Practice address
119 E WATER ST, PLYMOUTH, NC 27962-1300
(252) 793-9991
(252) 793-9991
Mailing address
119 E WATER ST, PLYMOUTH, NC 27962-1300
(252) 793-9991
(252) 793-9991
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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