| Madison Haskell Inc. | |
|
542 Williamson Rd Ste 4 Mooresville NC 28117-9138 | |
| (704) 962-8919 | |
| Not Available |
| Full Name | Madison Haskell Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 542 Williamson Rd Ste 4, Mooresville, North Carolina |
| Authorized Official Name and Position | Madison Haskell (OWNER) |
| Authorized Official Contact | 7049628919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Haskell Inc. 118 Farmers Folly Dr Mooresville NC 28117-8572 Ph: (704) 962-8919 | Madison Haskell Inc. 542 Williamson Rd Ste 4 Mooresville NC 28117-9138 Ph: (704) 962-8919 |
| NPI Number | 1386252591 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 07/14/2020 |
| Certification Date | 07/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386252591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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