| E Squared Community Services Llc | |
|
608a W Broad St Dunn NC 28334-4812 | |
| (910) 891-7680 | |
| (910) 891-7682 |
| Full Name | E Squared Community Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 608a W Broad St, Dunn, North Carolina |
| Authorized Official Name and Position | Emily Diane Leak (PRESIDENT) |
| Authorized Official Contact | 9192187161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E Squared Community Services Llc Po Box 388 Lillington NC 27546-5830 Ph: (910) 891-7680 | E Squared Community Services Llc 608a W Broad St Dunn NC 28334-4812 Ph: (910) 891-7680 |
| NPI Number | 1730243205 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 01/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730243205 | NPI | - | NPPES |
| 5915537 | Medicaid | NC | |
| 8301695 | Medicaid | NC | |
| 8301695G | Medicaid | NC | |
| 8301695B | Medicaid | NC | |
| 8301695V | Medicaid | NC | |
| 6005945 | Medicaid | NC | |
| 8301695H | Medicaid | NC |
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