| Imperative Changes Outreach | |
|
1710 W Third St Greenville NC 27834-1669 | |
| (252) 367-1112 | |
| Not Available |
| Full Name | Imperative Changes Outreach |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1710 W Third St, Greenville, North Carolina |
| Authorized Official Name and Position | Andre Gay (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2523671112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperative Changes Outreach Po Box 553 Greenville NC 27835-0553 Ph: () - | Imperative Changes Outreach 1710 W Third St Greenville NC 27834-1669 Ph: (252) 367-1112 |
| NPI Number | 1285065243 |
|---|---|
| Provider Enumeration Date | 12/02/2013 |
| Last Update Date | 12/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285065243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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