| |
1754 Getrag Pkwy Newton NC 28658-9024 | |
(828) 428-0061 | |
(828) 428-3600 |
Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 1754 Getrag Pkwy, Newton, North Carolina |
Authorized Official Name and Position | Jennifer D Lozano (DIRECTOR) |
Authorized Official Contact | 4043642900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | 1754 Getrag Pkwy Newton NC 28658-9024 Ph: (828) 428-0061 |
NPI Number | 1053443234 |
---|---|
Provider Enumeration Date | 03/12/2007 |
Last Update Date | 09/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053443234 | NPI | - | NPPES |
8300682B | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Elizabeth A Derouin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 W 9th St, Newton, NC 28658 Phone: 910-494-6000 | |
Ase Healing Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1738 Lazenby St, Newton, NC 28658 Phone: 828-244-2622 | |