| Community Care Center Ind | |
|
110 S Queen St Suite 118 Kinston NC 28501-4973 | |
| (252) 208-1928 | |
| (252) 559-2055 |
| Full Name | Community Care Center Ind |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 S Queen St, Kinston, North Carolina |
| Authorized Official Name and Position | Esau Arnold Mcmorris (PRESIDENT) |
| Authorized Official Contact | 2522081928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Center Ind 110 S Queen St Suite 118 Kinston NC 28501-4973 Ph: (252) 208-1928 | Community Care Center Ind 110 S Queen St Suite 118 Kinston NC 28501-4973 Ph: (252) 208-1928 |
| NPI Number | 1043336985 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043336985 | NPI | - | NPPES |
| 8301433 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251S00000X (North Carolina) | Primary |
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