| East Cove Psychiatric Services | |
|
2901 N Herritage St Ste C Kinston NC 28501-1581 | |
| (252) 523-2781 | |
| (252) 523-2779 |
| Full Name | East Cove Psychiatric Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2901 N Herritage St Ste C, Kinston, North Carolina |
| Authorized Official Name and Position | Joanna Wolicki-shannon (CHILD/ADULT PSYCHIATRIST) |
| Authorized Official Contact | 2525232781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Cove Psychiatric Services 2901 N Herritage St Ste C Kinston NC 28501-1581 Ph: (252) 523-2781 | East Cove Psychiatric Services 2901 N Herritage St Ste C Kinston NC 28501-1581 Ph: (252) 523-2781 |
| NPI Number | 1558545806 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558545806 | NPI | - | NPPES |
| 89137CE | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (North Carolina) | Primary |
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