Breanne Newcomb | |
53 Bloomingdale Dr Alexander NC 28701-9134 | |
(720) 409-6902 | |
Not Available |
Full Name | Breanne Newcomb |
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Speciality | Community/behavioral Health |
Location | 53 Bloomingdale Dr, Alexander, North Carolina |
Authorized Official Name and Position | Breanne Newcomb (OWNER/CBRS) |
Authorized Official Contact | 7204096902 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Breanne Newcomb 53 Bloomingdale Dr Alexander NC 28701-9134 Ph: (720) 409-6902 | Breanne Newcomb 53 Bloomingdale Dr Alexander NC 28701-9134 Ph: (720) 409-6902 |
NPI Number | 1801287586 |
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Provider Enumeration Date | 02/17/2015 |
Last Update Date | 02/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801287586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 103770 (Colorado) | Primary |
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