NPI | 1154624054 |
---|---|
Doing Business As | COMMWELL HOUSE - ANGELIC HOUSE |
Entity Type | Organization |
Authorized Contact | WILLIAM C ELLISON Revenue Cycle Manager 910-567-7065 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2010-12-15 |
Last Update Date | 2022-04-20 |