| Campbell Afl | |
|
42 Gerald Allen Ln Lillington NC 27546-9473 | |
| (336) 420-3195 | |
| Not Available |
| Full Name | Campbell Afl |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 42 Gerald Allen Ln, Lillington, North Carolina |
| Authorized Official Name and Position | Rachelle Brooks-blue (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9102574339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Afl 1076 Stamper Rd Fayetteville NC 28303-4191 Ph: (910) 483-2002 | Campbell Afl 42 Gerald Allen Ln Lillington NC 27546-9473 Ph: (336) 420-3195 |
| NPI Number | 1669848354 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 08/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669848354 | NPI | - | NPPES |
| 3409108 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6791 (North Carolina) | Primary |
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