| Club Creative | |
|
211 Webb St Roxboro NC 27573-5338 | |
| (336) 599-6030 | |
| Not Available |
| Full Name | Club Creative |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 211 Webb St, Roxboro, North Carolina |
| Authorized Official Name and Position | Kenneth Burrow (CEO) |
| Authorized Official Contact | 3364952700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Club Creative Po Box 814 Randleman NC 27317-0814 Ph: (336) 495-2700 | Club Creative 211 Webb St Roxboro NC 27573-5338 Ph: (336) 599-6030 |
| NPI Number | 1205075850 |
|---|---|
| Provider Enumeration Date | 02/05/2009 |
| Last Update Date | 02/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205075850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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