Provider Demographics
NPI:1487844965
Name:THE LAWSON'S HOUSE-WILMINGTON
Entity Type:Organization
Organization Name:THE LAWSON'S HOUSE-WILMINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:910-409-8476
Mailing Address - Street 1:PO BOX 317
Mailing Address - Street 2:
Mailing Address - City:HARRELLS
Mailing Address - State:NC
Mailing Address - Zip Code:28444-0317
Mailing Address - Country:US
Mailing Address - Phone:910-397-7685
Mailing Address - Fax:910-397-7686
Practice Address - Street 1:6622 GORDON RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-8414
Practice Address - Country:US
Practice Address - Phone:910-397-7685
Practice Address - Fax:910-397-7685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health