| Cabin Village And Associates, Llc | |
|
1151 W Lebanon St Ste 200 Mount Airy NC 27030-2225 | |
| (276) 728-6703 | |
| Not Available |
| Full Name | Cabin Village And Associates, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1151 W Lebanon St Ste 200, Mount Airy, North Carolina |
| Authorized Official Name and Position | Clinton Edwards (OWNER) |
| Authorized Official Contact | 2767286703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cabin Village And Associates, Llc 1015 Rockford St Ste 200 Mount Airy NC 27030-5026 Ph: (276) 728-6703 | Cabin Village And Associates, Llc 1151 W Lebanon St Ste 200 Mount Airy NC 27030-2225 Ph: (276) 728-6703 |
| NPI Number | 1194462747 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 06/11/2022 |
| Certification Date | 06/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194462747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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