| E Squared Community Services, Llc | |
|
101 Industrial Dr Suite 200 Louisburg NC 27549-2307 | |
| (919) 340-1677 | |
| (919) 340-1678 |
| Full Name | E Squared Community Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Industrial Dr, Louisburg, North Carolina |
| Authorized Official Name and Position | Emily 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 5022 Isabella Cannon Dr Raleigh NC 27612-4804 Ph: (919) 218-7161 | E Squared Community Services, Llc 101 Industrial Dr Suite 200 Louisburg NC 27549-2307 Ph: (919) 340-1677 |
| NPI Number | 1235429838 |
|---|---|
| Provider Enumeration Date | 04/15/2011 |
| Last Update Date | 04/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235429838 | NPI | - | NPPES |
| 8301695 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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