| Gods Child | |
|
1088 Allen Rd Apt 1d Greenville NC 27834-9206 | |
| (252) 320-8006 | |
| Not Available |
| Full Name | Gods Child |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1088 Allen Rd Apt 1d, Greenville, North Carolina |
| Authorized Official Name and Position | Imani Marie Reynolds (OWNER) |
| Authorized Official Contact | 2523208006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gods Child 1088 Allen Rd Apt 1d Greenville NC 27834-9206 Ph: (252) 320-8006 | Gods Child 1088 Allen Rd Apt 1d Greenville NC 27834-9206 Ph: (252) 320-8006 |
| NPI Number | 1407685191 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407685191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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