| Lite House Inc | |
|
26 Pinecrest Plz # 126 Southern Pines NC 28387-4301 | |
| (910) 693-9903 | |
| Not Available |
| Full Name | Lite House Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 26 Pinecrest Plz # 126, Southern Pines, North Carolina |
| Authorized Official Name and Position | Karla Celeste Kimbrough (DIRECTOR) |
| Authorized Official Contact | 9106939903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lite House Inc 26 Pinecrest Plz # 126 Southern Pines NC 28387-4301 Ph: (910) 693-9903 | Lite House Inc 26 Pinecrest Plz # 126 Southern Pines NC 28387-4301 Ph: (910) 693-9903 |
| NPI Number | 1790831543 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790831543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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