| Center For Family And Individual Growth, Pa | |
|
865 W Lake Dr Mount Airy NC 27030-2157 | |
| (336) 786-7199 | |
| (336) 719-2313 |
| Full Name | Center For Family And Individual Growth, Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 865 W Lake Dr, Mount Airy, North Carolina |
| Authorized Official Name and Position | Darrell Thomas Garner (PRESIDENT/PROVIDER) |
| Authorized Official Contact | 3367867199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Family And Individual Growth, Pa 865 W Lake Dr Mount Airy NC 27030-2157 Ph: (336) 786-7199 | Center For Family And Individual Growth, Pa 865 W Lake Dr Mount Airy NC 27030-2157 Ph: (336) 786-7199 |
| NPI Number | 1154637585 |
|---|---|
| Provider Enumeration Date | 08/23/2010 |
| Last Update Date | 08/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154637585 | NPI | - | NPPES |
| 1174Y | Other | NC | BLUE CROSS BLUE SHIELD |
| 308914 | Other | NC | MAGELLAN |
| 460508 | Other | NC | VALUE OPTIONS |
| 2031578 | Other | NC | CIGNA |
| 6002453 | Medicaid | NC | |
| 6223730 | Other | NC | UNITED HEALTH CARE |
| B5140 | Other | NC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C001190 (North Carolina) | Primary |
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