| Beacon Comprehensive Services Llc | |
|
190 La Keiser Drive Room B Columbia NC 27925 | |
| (252) 796-5606 | |
| Not Available |
| Full Name | Beacon Comprehensive Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 190 La Keiser Drive, Columbia, North Carolina |
| Authorized Official Name and Position | Joylet Michelle Mercer (CEO) |
| Authorized Official Contact | 2527910088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Comprehensive Services Llc Po Box 209 Plymouth NC 27962-0209 Ph: (252) 791-0088 | Beacon Comprehensive Services Llc 190 La Keiser Drive Room B Columbia NC 27925 Ph: (252) 796-5606 |
| NPI Number | 1851613061 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 02/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851613061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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