| Cape Fear Group Homes, Inc. | |
|
102 Old Eastwood Rd Ste D2-9 Wilmington NC 28403-0500 | |
| (910) 251-2555 | |
| (910) 251-2555 |
| Full Name | Cape Fear Group Homes, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 102 Old Eastwood Rd Ste D2-9, Wilmington, North Carolina |
| Authorized Official Name and Position | Keyana Latrise Mapson (OFFICE MANAGER) |
| Authorized Official Contact | 9102512555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Fear Group Homes, Inc. Po Box 4203 Wilmington NC 28406-1203 Ph: (910) 251-2555 | Cape Fear Group Homes, Inc. 102 Old Eastwood Rd Ste D2-9 Wilmington NC 28403-0500 Ph: (910) 251-2555 |
| NPI Number | 1659030294 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/10/2021 |
| Certification Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659030294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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