| Full Potential Llc | |
|
308 Hay St Ste D Fayetteville NC 28301-5574 | |
| (910) 860-3855 | |
| Not Available |
| Full Name | Full Potential Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 308 Hay St Ste D, Fayetteville, North Carolina |
| Authorized Official Name and Position | Jerome Johnson (DIRECTOR) |
| Authorized Official Contact | 9108603855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Potential Llc Po Box 25681 Fayetteville NC 28314-5011 Ph: (910) 860-3855 | Full Potential Llc 308 Hay St Ste D Fayetteville NC 28301-5574 Ph: (910) 860-3855 |
| NPI Number | 1922236140 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922236140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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