Eckerd Connects | |
4654 High Rock Rd Boomer NC 28606-9109 | |
(336) 921-3300 | |
(336) 921-4320 |
Full Name | Eckerd Connects |
---|---|
Speciality | Psychiatric Residential Treatment Facility |
Location | 4654 High Rock Rd, Boomer, North Carolina |
Authorized Official Name and Position | Nicole Stroebel (CONTROLLER) |
Authorized Official Contact | 7274612990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eckerd Connects 100 Starcrest Dr Clearwater FL 33765-3224 Ph: (727) 461-2990 | Eckerd Connects 4654 High Rock Rd Boomer NC 28606-9109 Ph: (336) 921-3300 |
NPI Number | 1336218486 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 11/20/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336218486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |