| Ase Ltc Llc | |
|
5710 Oleander Dr Ste 100 Wilmington NC 28403-4723 | |
| (412) 818-4115 | |
| Not Available |
| Full Name | Ase Ltc Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 5710 Oleander Dr Ste 100, Wilmington, North Carolina |
| Authorized Official Name and Position | Levi Small (CEO) |
| Authorized Official Contact | 4128184115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ase Ltc Llc 5710 Oleander Dr Ste 100 Wilmington NC 28403-4723 Ph: (412) 818-4115 | Ase Ltc Llc 5710 Oleander Dr Ste 100 Wilmington NC 28403-4723 Ph: (412) 818-4115 |
| NPI Number | 1275387029 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275387029 | NPI | - | NPPES |
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