| NPI | 1982735239 |
|---|---|
| Other Name | S & S SPOONRIDGE |
| Entity Type | Organization |
| Authorized Contact | SHERYL ANNETTE LYONS CEO Administrator 910-864-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-026-809) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2014-04-16 |