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311 Mcbee St Lincolnton NC 28092-2818 | |
| (704) 732-1559 | |
| (704) 362-8464 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 311 Mcbee St, Lincolnton, North Carolina |
| Authorized Official Name and Position | Nelson Craig Bass (PRESIDENT & CEO) |
| Authorized Official Contact | 7043668712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
311 Mcbee St Lincolnton NC 28092-2818 Ph: (704) 732-1559 | 311 Mcbee St Lincolnton NC 28092-2818 Ph: (704) 732-1559 |
| NPI Number | 1275936916 |
|---|---|
| Provider Enumeration Date | 10/08/2014 |
| Last Update Date | 06/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275936916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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