Carolina Comprehensive Psychiatric Services, Pllc | |
216 Stewart Pkwy Washington NC 27889-4972 | |
(252) 439-1011 | |
(252) 940-0030 |
Full Name | Carolina Comprehensive Psychiatric Services, Pllc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 216 Stewart Pkwy, Washington, North Carolina |
Authorized Official Name and Position | Daniel Acosta (OWNER) |
Authorized Official Contact | 2524391011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carolina Comprehensive Psychiatric Services, Pllc 1877 Altons Trl Greenville NC 27834-4746 Ph: (252) 439-1011 | Carolina Comprehensive Psychiatric Services, Pllc 216 Stewart Pkwy Washington NC 27889-4972 Ph: (252) 439-1011 |
NPI Number | 1144251828 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 03/08/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144251828 | NPI | - | NPPES |
6005908 | Medicaid | NC | |
017X0 | Other | NC | BCBS GROUP |
1144251828 | Other | NC | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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