Brunswick Academy Of Total Learning | |
344 Mulberry Street Shallotte NC 28459 | |
(910) 754-7777 | |
(910) 755-7777 |
Full Name | Brunswick Academy Of Total Learning |
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Speciality | Community/behavioral Health |
Location | 344 Mulberry Street, Shallotte, North Carolina |
Authorized Official Name and Position | Pamela L Helms (PRESIDENT/ADMINISTRATOR) |
Authorized Official Contact | 8432495005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brunswick Academy Of Total Learning Po Box 2991 Shallotte NC 28459-2991 Ph: (910) 754-7777 | Brunswick Academy Of Total Learning 344 Mulberry Street Shallotte NC 28459 Ph: (910) 754-7777 |
NPI Number | 1568552024 |
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Provider Enumeration Date | 10/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568552024 | NPI | - | NPPES |
8300973 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1055054 (North Carolina) | Primary |
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