The M.E. Green House
Community/Behavioral Health in Southern Pines, NC. Organization (NPI-2).
NPI number1891069761
StatusActive
Last updated in NPPESJan 11, 2016
Details
- NPI
- 1891069761
- Entity type
- Organization (NPI-2)
- Legal business name
- The M.E. Green House
- Organization subpart
- No
- Enumeration date
- Feb 24, 2012
- Last updated
- Jan 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | MHL-063-102 | NC | Yes |
Practice location
139 Pinehurst Ave Ste ASouthern Pines, NC 28387-7099
Phone 803-554-9683 · Fax 803-693-0829
Mailing address
139 Pinehurst Ave Ste ASouthern Pines, NC 28387-7099
Phone 910-725-1246 · Fax 803-693-0829
Authorized official
Melani Green
Owner
8035548638
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