| Liasion Outpatient Complex Llc | |
|
105 Eastbrook Dr Greenville NC 27858-4216 | |
| (252) 916-1233 | |
| (252) 689-6029 |
| Full Name | Liasion Outpatient Complex Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105 Eastbrook Dr, Greenville, North Carolina |
| Authorized Official Name and Position | Ivy Chavis (ADMINISTRATOR) |
| Authorized Official Contact | 9192645450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liasion Outpatient Complex Llc Po Box 31062 Greenville NC 27833-1062 Ph: (919) 264-5450 | Liasion Outpatient Complex Llc 105 Eastbrook Dr Greenville NC 27858-4216 Ph: (252) 916-1233 |
| NPI Number | 1730581141 |
|---|---|
| Provider Enumeration Date | 09/17/2014 |
| Last Update Date | 09/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730581141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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