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The Janice Mae Hawkins Foundation, INC.

Community/Behavioral Health in Fayetteville, NC. Organization (NPI-2).

NPI number1982735239
StatusActive
Last updated in NPPESApr 16, 2014

Details

NPI
1982735239
Entity type
Organization (NPI-2)
Legal business name
The Janice Mae Hawkins Foundation, INC.
Organization subpart
No
Enumeration date
Mar 8, 2007
Last updated
Apr 16, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral HealthMHL-026-809NCYes

Other names

  • S & S Spoonridge (Other Name)

Practice location

3359 Gables Dr.
Fayetteville, NC 28301

Phone 910-864-3426 · Fax 910-764-1457

Mailing address

3359 Gables Dr.
Fayetteville, NC 28301-0340

Phone 910-864-3426 · Fax 910-491-6803

Authorized official

Sheryl Annette Lyons
Ceo Administrator
9108643426

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