Provider Demographics
NPI:1780908566
Name:LE'CHRIS HEALTH SYSTEMS OF WILMINGTON, INC.
Entity type:Organization
Organization Name:LE'CHRIS HEALTH SYSTEMS OF WILMINGTON, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:252-636-6105
Mailing Address - Street 1:1822 S. GLENBURNIE RD.
Mailing Address - Street 2:STE.352
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2603
Mailing Address - Country:US
Mailing Address - Phone:252-636-6105
Mailing Address - Fax:
Practice Address - Street 1:301 MERCER MILL RD.
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NC
Practice Address - Zip Code:28337-2649
Practice Address - Country:US
Practice Address - Phone:910-862-3380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCPENDINGMedicaid