| Intentional Intervention, Inc. | |
|
1329 Salem Rd Morganton NC 28655-4835 | |
| (828) 437-5901 | |
| (828) 437-8419 |
| Full Name | Intentional Intervention, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1329 Salem Rd, Morganton, North Carolina |
| Authorized Official Name and Position | Angela J. Didway (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8284135421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Intervention, Inc. Po Box 655 Drexel NC 28619-0655 Ph: (828) 413-5421 | Intentional Intervention, Inc. 1329 Salem Rd Morganton NC 28655-4835 Ph: (828) 437-5901 |
| NPI Number | 1851532907 |
|---|---|
| Provider Enumeration Date | 03/19/2009 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851532907 | NPI | - | NPPES |
| 6103474 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6458 (North Carolina) | Primary |
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