Keaton Community Services Pllc | |
6715 Hockett Country Ln Pleasant Garden NC 27313-8262 | |
(336) 508-0714 | |
(336) 217-8847 |
Full Name | Keaton Community Services Pllc |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 6715 Hockett Country Ln, Pleasant Garden, North Carolina |
Authorized Official Name and Position | Marvin T Keaton (PRESIDENT) |
Authorized Official Contact | 3365080714 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Keaton Community Services Pllc 6715 Hockett Country Ln Pleasant Garden NC 27313-8262 Ph: (336) 508-0714 | Keaton Community Services Pllc 6715 Hockett Country Ln Pleasant Garden NC 27313-8262 Ph: (336) 508-0714 |
NPI Number | 1124581392 |
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Provider Enumeration Date | 04/12/2019 |
Last Update Date | 04/12/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124581392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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