Organization Name: | CORINE'S CARE MANAGEMENT, INC. |
NPI Number: | 1316245129 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WATOANAR FLANAGAN (PRESIDENT) |
Mailing Address: | 369 B C Highway 13 South Snow Hill |
State: | NC US |
Postal Code: | 285809515 |
Phone Number: | 2527475705 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2011 |
NPI Last Update Date: | 03/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |