| Choanoke Valley Advp | |
|
1321 1st St W Ahoskie NC 27910-8842 | |
| (252) 332-5709 | |
| (252) 862-4285 |
| Full Name | Choanoke Valley Advp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1321 1st St W, Ahoskie, North Carolina |
| Authorized Official Name and Position | Cynthia S. Rodgers (QP) |
| Authorized Official Contact | 2527942385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choanoke Valley Advp 224 Ward Rd Windsor NC 27983-9074 Ph: (252) 794-2385 | Choanoke Valley Advp 1321 1st St W Ahoskie NC 27910-8842 Ph: (252) 332-5709 |
| NPI Number | 1013215755 |
|---|---|
| Provider Enumeration Date | 03/04/2011 |
| Last Update Date | 04/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013215755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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