| Dixon Social Interactive | |
|
671 Washington Square Mall Washington NC 27889-5700 | |
| (252) 948-3714 | |
| Not Available |
| Full Name | Dixon Social Interactive |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 671 Washington Square Mall, Washington, North Carolina |
| Authorized Official Name and Position | Derria Nolen Dixon (CFO) |
| Authorized Official Contact | 2522588946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dixon Social Interactive 2105 King Lear Ct Greenville NC 27858-8504 Ph: (252) 258-8946 | Dixon Social Interactive 671 Washington Square Mall Washington NC 27889-5700 Ph: (252) 948-3714 |
| NPI Number | 1538289632 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538289632 | NPI | - | NPPES |
| 8300653 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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