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102 West Mapel Street Gatesville NC 27938 | |
| (252) 426-1390 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 102 West Mapel Street, Gatesville, North Carolina |
| Authorized Official Name and Position | Valerie C Costen (PRESIDENT) |
| Authorized Official Contact | 2524261390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 130 Winfall NC 27985-0130 Ph: () - | 102 West Mapel Street Gatesville NC 27938 Ph: (252) 426-1390 |
| NPI Number | 1679705958 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 08/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679705958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Daughters Of Zion Restoration Therapy Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 Main St, Gatesville, NC 27938 Phone: 252-862-2532 |