| Family Service Of The Piedmont, Inc. | |
|
902 Bonner Drive Jamestown NC 27282-8948 | |
| (336) 889-6105 | |
| (336) 387-9167 |
| Full Name | Family Service Of The Piedmont, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 902 Bonner Drive, Jamestown, North Carolina |
| Authorized Official Name and Position | Thomas R Bonney (PRESIDENT AND CEO) |
| Authorized Official Contact | 3368896105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Of The Piedmont, Inc. 902 Bonner Drive Jamestown NC 27282-8948 Ph: (336) 889-6105 | Family Service Of The Piedmont, Inc. 902 Bonner Drive Jamestown NC 27282-8948 Ph: (336) 889-6105 |
| NPI Number | 1912192980 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912192980 | NPI | - | NPPES |
| 8301003B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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