| E Squared Community Services | |
|
105 N Rutherford St Wadesboro NC 28170-2130 | |
| (704) 994-2640 | |
| (704) 994-2624 |
| Full Name | E Squared Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105 N Rutherford St, Wadesboro, North Carolina |
| Authorized Official Name and Position | Emily D 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 5022 Isabella Cannon Dr Raleigh NC 27612-4804 Ph: (919) 218-7161 | E Squared Community Services 105 N Rutherford St Wadesboro NC 28170-2130 Ph: (704) 994-2640 |
| NPI Number | 1366749780 |
|---|---|
| Provider Enumeration Date | 02/21/2011 |
| Last Update Date | 02/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366749780 | NPI | - | NPPES |
| 8301695 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-004-030 (North Carolina) | Primary |
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