| Halifax Co. Day Program | |
|
706 S Mcdaniel St Enfield NC 27823-1757 | |
| (252) 445-1590 | |
| (252) 445-1592 |
| Full Name | Halifax Co. Day Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 706 S Mcdaniel St, Enfield, North Carolina |
| Authorized Official Name and Position | Richard Lynn Smith (VP OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 9197781900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Halifax Co. Day Program 2609 Royall Ave Goldsboro NC 27534-8615 Ph: (919) 778-1900 | Halifax Co. Day Program 706 S Mcdaniel St Enfield NC 27823-1757 Ph: (252) 445-1590 |
| NPI Number | 1366958902 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 12/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366958902 | NPI | - | NPPES |
| 3408694 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-042-067 (North Carolina) | Primary |
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