BLUE LOTUS HEALING CENTER, LLC

CLAYTON, NC
NPI1922206416
Entity TypeOrganization
Authorized ContactNIVIEN IBRAHIM
Owner
919-946-8644
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C004122)
Enumeration Date2007-07-05
Last Update Date2015-04-02
Business Address
BLUE LOTUS HEALING CENTER, LLC
8838 US HIGHWAY 70 W SUITE 200C
CLAYTON, NC 27520-4822
Phone number: 919-946-8644
Mailing Address
BLUE LOTUS HEALING CENTER, LLC
PO BOX 1831
CLAYTON, NC 27528-1831
Phone number: 919-946-8644