| Alcohol And Drug Services - East | |
|
1101 Carolina St Greensboro NC 27401-1318 | |
| (336) 333-6860 | |
| (336) 275-1187 |
| Full Name | Alcohol And Drug Services - East |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1101 Carolina St, Greensboro, North Carolina |
| Authorized Official Name and Position | Ronald C. Rau (PRESIDENT/CEO) |
| Authorized Official Contact | 3368822125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alcohol And Drug Services - East 1101 Carolina St Greensboro NC 27401-1318 Ph: (336) 333-6860 | Alcohol And Drug Services - East 1101 Carolina St Greensboro NC 27401-1318 Ph: (336) 333-6860 |
| NPI Number | 1316085525 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/20/2023 |
| Medicare PECOS PAC ID | 2860655735 |
|---|---|
| Medicare Enrollment ID | O20200212000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316085525 | NPI | - | NPPES |
| 6005604 | Medicaid | NC | |
| 5907138 | Medicaid | NC | |
| 8301012 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-041-005 (North Carolina) | Primary |
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