| A Heritage Child Network, Inc | |
|
808 Circle Dr Monroe NC 28112-3800 | |
| (704) 619-3490 | |
| (704) 849-5251 |
| Full Name | A Heritage Child Network, Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 808 Circle Dr, Monroe, North Carolina |
| Authorized Official Name and Position | Glenda Lena Vinson-nnaji (CEO) |
| Authorized Official Contact | 7046193490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Heritage Child Network, Inc 7633 Pineville Matthews Rd Box 10 Charlotte NC 28226-3909 Ph: (704) 619-3490 | A Heritage Child Network, Inc 808 Circle Dr Monroe NC 28112-3800 Ph: (704) 619-3490 |
| NPI Number | 1811237365 |
|---|---|
| Provider Enumeration Date | 02/20/2013 |
| Last Update Date | 02/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811237365 | NPI | - | NPPES |
| 1275657132 | Medicaid | NC | |
| 1578734646 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 101YP2500X (North Carolina) | Primary |
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