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1904 S Main St Waynesville NC 28786-6790 | |
| (828) 452-1300 | |
| (828) 452-1300 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1904 S Main St, Waynesville, North Carolina |
| Authorized Official Name and Position | Kimberly Castano (DIRECTOR) |
| Authorized Official Contact | 8282265533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 250 Balsam NC 28707-0250 Ph: (828) 226-5533 | 1904 S Main St Waynesville NC 28786-6790 Ph: (828) 452-1300 |
| NPI Number | 1669527248 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669527248 | NPI | - | NPPES |
| 8301068 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-044-046 (North Carolina) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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