| Cb Recovery Services, Llc | |
|
21 Anna Drive Suite 105 And 106 Clayton NC 27520-2181 | |
| (919) 585-5020 | |
| (919) 550-5175 |
| Full Name | Cb Recovery Services, Llc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 21 Anna Drive, Clayton, North Carolina |
| Authorized Official Name and Position | Eugenia Valisha Davis (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9195854486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cb Recovery Services, Llc 901 Town Centre Blvd Suite 120 Clayton NC 27520-2181 Ph: (919) 585-5020 | Cb Recovery Services, Llc 21 Anna Drive Suite 105 And 106 Clayton NC 27520-2181 Ph: (919) 585-5020 |
| NPI Number | 1811255037 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811255037 | NPI | - | NPPES |
| 8303420P | Medicaid | NC | |
| 8303420Q | Medicaid | NC | |
| 8303420 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (North Carolina) | Primary |
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