| Children's Developmental Services Agency | |
|
Irons Building-oglesby Dr. Greenville NC 27858 | |
| (252) 737-1177 | |
| (252) 328-4486 |
| Full Name | Children's Developmental Services Agency |
|---|---|
| Speciality | Psychologist |
| Location | Irons Building-oglesby Dr., Greenville, North Carolina |
| Authorized Official Name and Position | Gary Judson Stainback (DIRECTOR COSA) |
| Authorized Official Contact | 2527371167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Developmental Services Agency Irons Building-oglesby Dr. Greenville NC 27858 Ph: (252) 737-1177 | Children's Developmental Services Agency Irons Building-oglesby Dr. Greenville NC 27858 Ph: (252) 737-1177 |
| NPI Number | 1760507990 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760507990 | NPI | - | NPPES |
| 03411 | Other | NC | BCBS |
| 3403406 | Medicaid | NC |
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