Area Services And Programs Ince. | |
339 Wall St Yanceyville NC 27379-9382 | |
(336) 694-4333 | |
(336) 694-7325 |
Full Name | Area Services And Programs Ince. |
---|---|
Speciality | Counselor - Mental Health |
Location | 339 Wall St, Yanceyville, North Carolina |
Authorized Official Name and Position | Lisa G Sullivan (DIRECTOR OF SUPPORT SERVICES) |
Authorized Official Contact | 9198658772 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Area Services And Programs Ince. 3801 Lake Boone Trail Suite 320 Raleigh NC 27607 Ph: (919) 865-8772 | Area Services And Programs Ince. 339 Wall St Yanceyville NC 27379-9382 Ph: (336) 694-4333 |
NPI Number | 1407044779 |
---|---|
Provider Enumeration Date | 10/11/2007 |
Last Update Date | 10/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407044779 | NPI | - | NPPES |
8301522A | Medicaid | NC | |
8301522B | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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