| Ashleybrook Clinic Pa | |
|
1321 Ashleybrook Lane Winston Salem NC 27103-2918 | |
| (336) 659-9045 | |
| (336) 659-7866 |
| Full Name | Ashleybrook Clinic Pa |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1321 Ashleybrook Lane, Winston Salem, North Carolina |
| Authorized Official Name and Position | Thai T Phan (PRESIDENT) |
| Authorized Official Contact | 3366599045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashleybrook Clinic Pa 1321 Ashleybrook Lane Winston Salem NC 27103-2918 Ph: (336) 659-9045 | Ashleybrook Clinic Pa 1321 Ashleybrook Lane Winston Salem NC 27103-2918 Ph: (336) 659-9045 |
| NPI Number | 1699828475 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699828475 | NPI | - | NPPES |
| 0152F | Other | NC | BCBS |
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