| Gary | |
|
301 Mcauley Circle Belmont NC 28012-0710 | |
| (704) 825-4161 | |
| (704) 825-0401 |
| Full Name | Gary |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 Mcauley Circle, Belmont, North Carolina |
| Authorized Official Name and Position | Shannon Childress (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 7048254161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary 6600 W Wilkinson Blvd Belmont NC 28012-2796 Ph: () - | Gary 301 Mcauley Circle Belmont NC 28012-0710 Ph: (704) 825-4161 |
| NPI Number | 1063747319 |
|---|---|
| Provider Enumeration Date | 10/05/2009 |
| Last Update Date | 08/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063747319 | NPI | - | NPPES |
| 1619310851 | Other | NC | STATE FUNDS |
| 7803424 | Medicaid | NC |
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