Eden Behavioral Services, Llc | |
414 W Village Dr Greenville NC 27834-3727 | |
(919) 824-7326 | |
Not Available |
Full Name | Eden Behavioral Services, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 414 W Village Dr, Greenville, North Carolina |
Authorized Official Name and Position | Dwayne D Gray (OWNER/CEO) |
Authorized Official Contact | 9198247326 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eden Behavioral Services, Llc 414 W Village Dr Greenville NC 27834-3727 Ph: (919) 824-7326 | Eden Behavioral Services, Llc 414 W Village Dr Greenville NC 27834-3727 Ph: (919) 824-7326 |
NPI Number | 1467789503 |
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Provider Enumeration Date | 11/11/2009 |
Last Update Date | 11/11/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467789503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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