Organization
DAY ONE SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENA ALSTON DICKENS (OWNER)
(252) 443-1121
Entity
Organization
Contact information
Practice address
304 FOREST HILL AVE, ROCKY MOUNT, NC 27804-3732
(252) 443-1121
Mailing address
304 FOREST HILL AVE, ROCKY MOUNT, NC 27804-3732
(252) 443-1121
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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