| Christian Values Aba | |
|
172 Fisher Rd Lillington NC 27546-4838 | |
| (813) 417-6400 | |
| Not Available |
| Full Name | Christian Values Aba |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 172 Fisher Rd, Lillington, North Carolina |
| Authorized Official Name and Position | Jennifer Jones (CFO) |
| Authorized Official Contact | 8134176400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Values Aba 172 Fisher Rd Lillington NC 27546-4838 Ph: (813) 417-6400 | Christian Values Aba 172 Fisher Rd Lillington NC 27546-4838 Ph: (813) 417-6400 |
| NPI Number | 1770367302 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770367302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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