Healthcare Provider Details

I. General information

NPI: 1447903588
Provider Name (Legal Business Name): A BETTER CHANCE A BETTER COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2022
Last Update Date: 01/29/2022
Certification Date: 01/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6878 OLD 125 RD
SCOTLAND NECK NC
27874-8963
US

IV. Provider business mailing address

362 WILLIAMS SCOTT RD
ENFIELD NC
27823-8505
US

V. Phone/Fax

Practice location:
  • Phone: 252-673-5080
  • Fax: 252-303-5369
Mailing address:
  • Phone: 252-673-5080
  • Fax: 252-303-5369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CHESTER BRUCE WILLIAMS
Title or Position: CEO
Credential: MS
Phone: 252-673-5080