Organization
LECHRIS COUSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON BLANKENSHIP (FACILITY DIRECTOR)
(910) 577-8200
Entity
Organization
Contact information
Practice address
57 OFFICE PARK DR, JACKSONVILLE, NC 28546-7327
(910) 577-8200
Mailing address
57 OFFICE PARK DR, JACKSONVILLE, NC 28546-7327
(910) 577-8200
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
P009713
NC
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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