| Circle Of Courage Behavioral Healthcare | |
|
108 Hay St Ste 303 Fayetteville NC 28301-5684 | |
| (910) 769-3575 | |
| Not Available |
| Full Name | Circle Of Courage Behavioral Healthcare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 108 Hay St Ste 303, Fayetteville, North Carolina |
| Authorized Official Name and Position | Laronda Woods Freeman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9107693575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Courage Behavioral Healthcare 3806 Park Ave Ste A Wilmington NC 28403-6739 Ph: (910) 769-3575 | Circle Of Courage Behavioral Healthcare 108 Hay St Ste 303 Fayetteville NC 28301-5684 Ph: (910) 769-3575 |
| NPI Number | 1790113520 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790113520 | NPI | - | NPPES |
| 6008752 | Medicaid | NC | |
| 8301226 | Medicaid | NC | |
| 8301226V | Medicaid | NC | |
| 6604437 | Medicaid | NC | |
| 8301226B | Medicaid | NC | |
| 8301226H | Medicaid | NC | |
| 3410191 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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