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285 Camp Easter Rd Lakeview NC 28350-1901 | |
(910) 245-4339 | |
(910) 245-4799 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 285 Camp Easter Rd, Lakeview, North Carolina |
Authorized Official Name and Position | Tim Hall (VP/CHIEF OF BEHAVIORAL HEALTH SVCS) |
Authorized Official Contact | 9105212900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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60 Commerce Drive Pembroke NC 28372 Ph: (910) 521-2900 | 285 Camp Easter Rd Lakeview NC 28350-1901 Ph: (910) 245-4339 |
NPI Number | 1689716607 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 06/28/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689716607 | NPI | - | NPPES |
8300803P | Medicaid | NC | |
8300803Q | Medicaid | NC | |
8300803 | Medicaid | NC | |
6005787 | Medicaid | NC | |
8300803B | Medicaid | NC | |
8300803G | Medicaid | NC |