| Limited Liability Corporation | |
|
2316 Nelson Hwy Chapel Hill NC 27517 | |
| (919) 402-8477 | |
| Not Available |
| Full Name | Limited Liability Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2316 Nelson Hwy, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Ronald Mack Johnson (DIRECTOR) |
| Authorized Official Contact | 9194529276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Limited Liability Corporation 1537 Yorkshire Lane Rocky Mount NC 27803 Ph: (252) 937-7862 | Limited Liability Corporation 2316 Nelson Hwy Chapel Hill NC 27517 Ph: (919) 402-8477 |
| NPI Number | 1891862413 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891862413 | NPI | - | NPPES |
| 6603843 | Medicaid | NC |
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