| Abc Play | |
|
1290 Halstead Blvd Elizabeth City NC 27909-5840 | |
| (252) 333-8445 | |
| (252) 404-9136 |
| Full Name | Abc Play |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1290 Halstead Blvd, Elizabeth City, North Carolina |
| Authorized Official Name and Position | Wilkiam Wilson (IFTS, LCAS-A) |
| Authorized Official Contact | 2523120516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Play Po Box 1614 Elizabeth City NC 27906-1614 Ph: () - | Abc Play 1290 Halstead Blvd Elizabeth City NC 27909-5840 Ph: (252) 333-8445 |
| NPI Number | 1780075952 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 01/08/2021 |
| Certification Date | 01/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780075952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (North Carolina) | Secondary |
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