Lakewood | |
302 Greenwood Pl Belmont NC 28012-2911 | |
(704) 829-4410 | |
Not Available |
Full Name | Lakewood |
---|---|
Speciality | Community/behavioral Health |
Location | 302 Greenwood Pl, Belmont, North Carolina |
Authorized Official Name and Position | Shannon Childress (CHIEF CLINICAL OFFICER) |
Authorized Official Contact | 7048294410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakewood Po Box 710 Belmont NC 28012-0710 Ph: () - | Lakewood 302 Greenwood Pl Belmont NC 28012-2911 Ph: (704) 829-4410 |
NPI Number | 1801129127 |
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Provider Enumeration Date | 09/18/2009 |
Last Update Date | 08/30/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801129127 | NPI | - | NPPES |
1619310851 | Other | NC | STATE FUNDS |
7802691 | Medicaid | NC | |
3408854 | Medicaid | NC |
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