Provider Demographics
NPI:1174942023
Name:CANDJ MANAGEMENT
Entity type:Organization
Organization Name:CANDJ MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-750-5394
Mailing Address - Street 1:405 SOUTH POINTE DR # A
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9891
Mailing Address - Country:US
Mailing Address - Phone:919-778-3355
Mailing Address - Fax:919-778-8500
Practice Address - Street 1:1401 N BERKELEY BLVD
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-3488
Practice Address - Country:US
Practice Address - Phone:919-778-3355
Practice Address - Fax:919-778-8500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty