Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 402 Main St, Creedmoor, North Carolina |
Authorized Official Name and Position | Jeffrey Matkins (CEO) |
Authorized Official Contact | 3367258389 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
104 New Stateside Dr Chapel Hill NC 27516-1165 Ph: (919) 942-2803 | 402 Main St Creedmoor NC 27522 Ph: (919) 529-2474 |
NPI Number | 1356787311 |
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Provider Enumeration Date | 05/17/2013 |
Last Update Date | 02/28/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356787311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
The Hope Well America, Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 402 N. Main Street, Creedmoor, NC 27522 Phone: 919-590-0426 | |
Innovative Behavioral Health Services P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 402 Main St, Creedmoor, NC 27522 Phone: 919-529-2474 | |