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218 Old Mocksville Rd Statesville NC 28625-1930 | |
| (704) 838-7102 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 218 Old Mocksville Rd, Statesville, North Carolina |
| Authorized Official Name and Position | Paula M Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 402332 Atlanta GA 30384-2332 Ph: (704) 873-0281 | 218 Old Mocksville Rd Statesville NC 28625-1930 Ph: (704) 838-7102 |
| NPI Number | 1609815174 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609815174 | NPI | - | NPPES |
| 3400144S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
Behavioral Healthcare & Memory Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215b W Broad St, Statesville, NC 28677 Phone: 704-878-8884 Fax: 704-878-8883 | |
Hopewell Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S Center St Ste 116, Statesville, NC 28677 Phone: 704-325-9654 Fax: 704-973-9488 | |
Iredell County Dss Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Eastside Dr, Statesville, NC 28625 Phone: 704-873-5631 Fax: 704-871-3489 | |
Cnc Access Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Stockton St, Statesville, NC 28677 Phone: 800-866-0860 |