| Dixon Social Interactive Services, Inc. | |
|
1202 W Vernon Ave Kinston NC 28501-3526 | |
| (252) 353-0100 | |
| (252) 353-0600 |
| Full Name | Dixon Social Interactive Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1202 W Vernon Ave, Kinston, North Carolina |
| Authorized Official Name and Position | Derria Nolen Dixon (ADMINISTRATOR) |
| Authorized Official Contact | 2523530100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dixon Social Interactive Services, Inc. 2105 King Lear Ct Greenville NC 27858-8504 Ph: (252) 353-0100 | Dixon Social Interactive Services, Inc. 1202 W Vernon Ave Kinston NC 28501-3526 Ph: (252) 353-0100 |
| NPI Number | 1770715294 |
|---|---|
| Provider Enumeration Date | 08/17/2009 |
| Last Update Date | 08/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770715294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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