Lawson Support Services,llc | |
393 N Main St Sparta NC 28675-8896 | |
(336) 372-6083 | |
(336) 372-6087 |
Full Name | Lawson Support Services,llc |
---|---|
Speciality | Community/behavioral Health |
Location | 393 N Main St, Sparta, North Carolina |
Authorized Official Name and Position | Alicia A Lawson (PROGRAM ADMINISTRATOR) |
Authorized Official Contact | 3363726083 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lawson Support Services,llc Po Box 189 Sparta NC 28675-0189 Ph: (336) 372-6083 | Lawson Support Services,llc 393 N Main St Sparta NC 28675-8896 Ph: (336) 372-6083 |
NPI Number | 1790813475 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 12/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790813475 | NPI | - | NPPES |
8301046 | Medicaid | NC | |
8301046B | Medicaid | NC | |
8301046G | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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