| Corp | |
|
9800 Kincey Ave Suite 190 Huntersville NC 28078-8415 | |
| (704) 875-1328 | |
| (704) 875-9276 |
| Full Name | Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9800 Kincey Ave, Huntersville, North Carolina |
| Authorized Official Name and Position | Marilyn Garner (CEO AND PRESIDENT) |
| Authorized Official Contact | 7046597630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corp 5350 77 Center Dr Suite 201 Charlotte NC 28217-2783 Ph: (704) 875-1328 | Corp 9800 Kincey Ave Suite 190 Huntersville NC 28078-8415 Ph: (704) 875-1328 |
| NPI Number | 1164528121 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 09/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164528121 | NPI | - | NPPES |
| 7804215 | Medicaid | NC | |
| 7802198 | Medicaid | NC | |
| 7802810 | Medicaid | NC | |
| 7804012 | Medicaid | NC | |
| 7802369 | Medicaid | NC | |
| 7802643 | Medicaid | NC | |
| 7802744 | Medicaid | NC | |
| 7803215 | Medicaid | NC | |
| 3408796 | Medicaid | NC | |
| 7802523 | Medicaid | NC | |
| 7802987 | Medicaid | NC | |
| 7803010 | Medicaid | NC | |
| 7804065 | Medicaid | NC | |
| 7804104 | Medicaid | NC | |
| 7802200 | Medicaid | NC | |
| 7804278 | Medicaid | NC | |
| 7805230 | Medicaid | NC | |
| 7803966 | Medicaid | NC | |
| 7804103 | Medicaid | NC | |
| 7802516 | Medicaid | NC |
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