Free Will Baptist Childrens Home, Inc. | |
7907 Buck Deans Road Middlesex NC 27557 | |
(252) 235-2161 | |
(252) 235-2625 |
Full Name | Free Will Baptist Childrens Home, Inc. |
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Speciality | Social Worker - Clinical |
Location | 7907 Buck Deans Road, Middlesex, North Carolina |
Authorized Official Name and Position | Gary W Lee (PRESIDENT/CEO) |
Authorized Official Contact | 2522352161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Free Will Baptist Childrens Home, Inc. Po Box 249 Middlesex NC 27557-0249 Ph: (252) 235-2161 | Free Will Baptist Childrens Home, Inc. 7907 Buck Deans Road Middlesex NC 27557 Ph: (252) 235-2161 |
NPI Number | 1669529178 |
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Provider Enumeration Date | 01/05/2007 |
Last Update Date | 02/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669529178 | NPI | - | NPPES |
6005069 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | B00358 (North Carolina) | Primary |
Q1consultants.com Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12749 Buck Rd, Middlesex, NC 27557 Phone: 919-303-5377 Fax: 919-303-5380 |