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1942505987
PHYSICIAN ALLIANCE FOR MENTAL HEALTH LLC
WILMINGTON, NC
NPI
1942505987
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Entity Type
Organization
Authorized Contact
WENDY RENE' KACZYNSKI
Provider Manager
910-262-7107
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2011-01-24
Last Update Date
2014-04-10
Business Address
PHYSICIAN ALLIANCE FOR MENTAL HEALTH LLC
3208 OLEANDER DR
WILMINGTON, NC 28403-0800
Phone number: 910-794-3929
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Mailing Address
PHYSICIAN ALLIANCE FOR MENTAL HEALTH LLC
PO BOX 15511
WILMINGTON, NC 28408-5511
Phone number: 910-794-3929
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