Impact Carolina Services Inc | |
1006 Union Road Suite B Gastonia NC 28054-0000 | |
(704) 864-8775 | |
(980) 225-0549 |
Full Name | Impact Carolina Services Inc |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1006 Union Road, Gastonia, North Carolina |
Authorized Official Name and Position | Joseph O Adedokun (DIRECTOR) |
Authorized Official Contact | 7047322006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Impact Carolina Services Inc 1006 Union Road Suite B Gastonia NC 28054-0000 Ph: (704) 864-8775 | Impact Carolina Services Inc 1006 Union Road Suite B Gastonia NC 28054-0000 Ph: (704) 864-8775 |
NPI Number | 1861941049 |
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Provider Enumeration Date | 09/28/2016 |
Last Update Date | 09/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861941049 | NPI | - | NPPES |
6006650 | Medicaid | NC |
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