Lee Psr | |
214 Mciver St Sanford NC 27330-4343 | |
(919) 774-1485 | |
Not Available |
Full Name | Lee Psr |
---|---|
Speciality | Community/behavioral Health |
Location | 214 Mciver St, Sanford, North Carolina |
Authorized Official Name and Position | Cindy Jones (CFO) |
Authorized Official Contact | 7049861522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lee Psr 350 Pee Dee Ave Suite A Albemarle NC 28001-4932 Ph: (704) 946-1500 | Lee Psr 214 Mciver St Sanford NC 27330-4343 Ph: (919) 774-1485 |
NPI Number | 1710218201 |
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Provider Enumeration Date | 01/22/2010 |
Last Update Date | 03/31/2021 |
Certification Date | 03/31/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710218201 | NPI | - | NPPES |
8302915 | Medicaid | NC | |
8302915S | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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