LIASION OUTPATIENT COMPLEX LLC

GREENVILLE, NC
NPI1730581141
Entity TypeOrganization
Authorized ContactIVY CHAVIS
Administrator
919-264-5450
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2014-09-17
Last Update Date2014-09-17
Business Address
LIASION OUTPATIENT COMPLEX LLC
105 EASTBROOK DR
GREENVILLE, NC 27858-4216
Phone number: 252-916-1233
Mailing Address
LIASION OUTPATIENT COMPLEX LLC
PO BOX 31062
GREENVILLE, NC 27833-1062
Phone number: 919-264-5450