Organization
REJUVENATING FAMILIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE CELESTE WILSON MSW,LCSWA (CLINICAL DIRECTOR)
(919) 920-2561
Entity
Organization
Contact information
Practice address
412 HAMILTON DR, GOLDSBORO, NC 27530-6904
(919) 920-2561
Mailing address
412 HAMILTON DR, GOLDSBORO, NC 27530-6904
(919) 920-2561
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2021
Last updated
08/19/2021
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