| High 5 Early Intervention Services | |
|
156 Rye Ln Raeford NC 28376-5301 | |
| (910) 479-4141 | |
| Not Available |
| Full Name | High 5 Early Intervention Services |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 156 Rye Ln, Raeford, North Carolina |
| Authorized Official Name and Position | Tisha Nikita Evans (CHIEF OPERATING OFFICER/DIRECTOR) |
| Authorized Official Contact | 9104794141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High 5 Early Intervention Services 156 Rye Ln Raeford NC 28376-5301 Ph: (910) 479-4141 | High 5 Early Intervention Services 156 Rye Ln Raeford NC 28376-5301 Ph: (910) 479-4141 |
| NPI Number | 1528692670 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/29/2020 |
| Certification Date | 02/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528692670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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