| C-blac Services, Inc. | |
|
1302 W Market St Smithfield NC 27577-3339 | |
| (919) 989-1786 | |
| (919) 989-1791 |
| Full Name | C-blac Services, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1302 W Market St, Smithfield, North Carolina |
| Authorized Official Name and Position | Janet M Wise (CEO) |
| Authorized Official Contact | 9199891786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C-blac Services, Inc. Po Box 1629 Smithfield NC 27577-1629 Ph: (919) 989-1786 | C-blac Services, Inc. 1302 W Market St Smithfield NC 27577-3339 Ph: (919) 989-1786 |
| NPI Number | 1609956630 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609956630 | NPI | - | NPPES |
| MHL 051-128 | Other | NC | MENTAL HEALTH LICENSE |
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