| Cisselsalternative | |
|
126 Davenport Dr Raeford NC 28376-5425 | |
| (910) 848-0216 | |
| (910) 848-0216 |
| Full Name | Cisselsalternative |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 126 Davenport Dr, Raeford, North Carolina |
| Authorized Official Name and Position | Marion Wilson Cissel (OWNER) |
| Authorized Official Contact | 9108480216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cisselsalternative 126 Davenport Dr Raeford NC 28376-5425 Ph: (910) 848-0216 | Cisselsalternative 126 Davenport Dr Raeford NC 28376-5425 Ph: (910) 848-0216 |
| NPI Number | 1508039140 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508039140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MNL047109 (North Carolina) | Primary |
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