Organization
BETTER COMMUNITY COMMUNITY COUNSELING HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSO ALLEN (OWNER)
(336) 508-6582
Entity
Organization
Contact information
Practice address
777 HARRIS ST, JACKSON, MS 39202-3471
(336) 508-6582
Mailing address
203 WINDRUSH LN, DURHAM, NC 27703-9457
(336) 508-6582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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