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8896 Us Highway. 221 Fleetwood NC 28626-9764 | |
(336) 877-4161 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 8896 Us Highway. 221, Fleetwood, North Carolina |
Authorized Official Name and Position | Glenda P. Andrews (CEO) |
Authorized Official Contact | 3366673333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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507 Courthouse Dr Wilkesboro NC 28697-2926 Ph: (336) 667-3333 | 8896 Us Highway. 221 Fleetwood NC 28626-9764 Ph: (336) 877-4161 |
NPI Number | 1417125931 |
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Provider Enumeration Date | 02/19/2008 |
Last Update Date | 02/19/2008 |
Identifier | Type | State | Issuer |
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1417125931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | MHL-005-023 (North Carolina) | Primary |