Da-Queens Home
Clinic/Center, Adult Mental Health in Rocky Mount, NC. Organization (NPI-2).
NPI number1487265682
StatusActive
Last updated in NPPESApr 2, 2023
Details
- NPI
- 1487265682
- Entity type
- Organization (NPI-2)
- Legal business name
- Da-Queens Home
- Organization subpart
- No
- Enumeration date
- Aug 11, 2020
- Certification date
- Apr 2, 2023
- Last updated
- Apr 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
601 Eastern AveRocky Mount, NC 27801-5856
Phone 919-395-6027 · Fax 919-329-7640
Mailing address
295 Adams Point DrGarner, NC 27529-6507
Phone 919-395-6027 · Fax 919-329-7640
Authorized official
Ngozi Mary Ngwadom
Ceo
9193956027
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