| |
1679 Us Hwy 321 S Newton NC 28658-0000 | |
(828) 695-5900 | |
(828) 695-4256 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1679 Us Hwy 321 S, Newton, North Carolina |
Authorized Official Name and Position | John M Waters (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8286955900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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327 1st Ave Nw Hickory NC 28601-6122 Ph: (828) 695-5900 | 1679 Us Hwy 321 S Newton NC 28658-0000 Ph: (828) 695-5900 |
NPI Number | 1598882193 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 12/23/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598882193 | NPI | - | NPPES |
8300384S | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Elizabeth A Derouin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 W 9th St, Newton, NC 28658 Phone: 910-494-6000 | |
Ase Healing Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1738 Lazenby St, Newton, NC 28658 Phone: 828-244-2622 | |