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2555 Capitol Dr Ste E-2 Creedmoor NC 27522-7398 | |
(919) 931-8838 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 2555 Capitol Dr Ste E-2, Creedmoor, North Carolina |
Authorized Official Name and Position | Fredricka Breaker (CEO) |
Authorized Official Contact | 9199318838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2555 Capitol Dr Ste E-2 Creedmoor NC 27522-7398 Ph: (757) 406-9040 | 2555 Capitol Dr Ste E-2 Creedmoor NC 27522-7398 Ph: (919) 931-8838 |
NPI Number | 1386409894 |
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Provider Enumeration Date | 02/14/2024 |
Last Update Date | 09/24/2024 |
Certification Date | 09/24/2024 |
Identifier | Type | State | Issuer |
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1386409894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
The Hope Well America, Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 402 N. Main Street, Creedmoor, NC 27522 Phone: 919-590-0426 | |
Innovative Behavioral Health Services P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 402 Main St, Creedmoor, NC 27522 Phone: 919-529-2474 | |