Organization · NPI-2
Affinity Health Associates, LLC
Social Worker, Clinical · Wilmington, NC
NPI number1689851834
StatusActive
Last updated in NPPESAug 18, 2008
Details
- NPI
- 1689851834
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Health Associates, LLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2008
- Last updated
- Aug 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C005634 | NC | Yes |
| 251S00000X | Community/Behavioral Health | 200101001 | NC | |
| 251B00000X | Case Management | – | – | |
| 207Q00000X | Family Medicine | 20010111001 | NC |
Other names
- Affinity Health Associates, LLC (Former Legal Business Name)
Practice location
5421 Wrightsville Ave5421
Wilmington, NC 28403-6513
Phone 910-332-3330 · Fax 910-792-1004
Mailing address
5421 Wrightsville Ave5421
Wilmington, NC 28403-6513
Phone 910-762-6524 · Fax 910-792-1004
Authorized official
Ginger Ann Taulbee
Administrator
9103323330
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