| Ads-burlington | |
|
259 S Graham Hopedale Rd Suite 101 Burlington NC 27217-4319 | |
| (336) 601-8922 | |
| Not Available |
| Full Name | Ads-burlington |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 259 S Graham Hopedale Rd, Burlington, North Carolina |
| Authorized Official Name and Position | Ron C. Rau (PRESIDENT) |
| Authorized Official Contact | 3368822125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ads-burlington 301 E Washington St Suite 101 Greensboro NC 27401-2993 Ph: (336) 333-6860 | Ads-burlington 259 S Graham Hopedale Rd Suite 101 Burlington NC 27217-4319 Ph: (336) 601-8922 |
| NPI Number | 1386782522 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386782522 | NPI | - | NPPES |
| 6005605 | Medicaid | NC | |
| 8301009 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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