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16 Stanley Rd Pembroke NC 28372-8540 | |
| (910) 521-9553 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16 Stanley Rd, Pembroke, North Carolina |
| Authorized Official Name and Position | Sheree L Sampson (OWNER) |
| Authorized Official Contact | 9108271169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16 Stanley Rd Pembroke NC 28372-8540 Ph: () - | 16 Stanley Rd Pembroke NC 28372-8540 Ph: (910) 521-9553 |
| NPI Number | 1366586331 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366586331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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