| Krystal's House, Llc | |
|
208 N Greene St Snow Hill NC 28580-1410 | |
| (252) 747-2988 | |
| (252) 747-4330 |
| Full Name | Krystal's House, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 208 N Greene St, Snow Hill, North Carolina |
| Authorized Official Name and Position | Carolyn Hodges Bryant (CEO) |
| Authorized Official Contact | 2527472988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal's House, Llc 208 N Greene St Snow Hill NC 28580-1410 Ph: (252) 747-2988 | Krystal's House, Llc 208 N Greene St Snow Hill NC 28580-1410 Ph: (252) 747-2988 |
| NPI Number | 1265675375 |
|---|---|
| Provider Enumeration Date | 04/20/2009 |
| Last Update Date | 04/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265675375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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