Burliness Alliance Llc | |
1857 J P Rd Whitakers NC 27891-9189 | |
(252) 969-0752 | |
(252) 303-5484 |
Full Name | Burliness Alliance Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1857 J P Rd, Whitakers, North Carolina |
Authorized Official Name and Position | Teranda Michelle Knight (VICE PRESIDENT/COUNSELOR) |
Authorized Official Contact | 2529690752 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Burliness Alliance Llc 1857 J P Rd Whitakers NC 27891-9189 Ph: (252) 969-0752 | Burliness Alliance Llc 1857 J P Rd Whitakers NC 27891-9189 Ph: (252) 969-0752 |
NPI Number | 1265105274 |
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Provider Enumeration Date | 07/26/2021 |
Last Update Date | 07/26/2021 |
Certification Date | 07/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265105274 | NPI | - | NPPES |
1083255137 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |