| |
403 East Main Street Wilkesboro NC 28697 | |
(336) 903-8500 | |
(336) 903-8505 |
Full Name | |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 403 East Main Street, Wilkesboro, North Carolina |
Authorized Official Name and Position | John Edmund Carrigan (DIRECTOR CORPORATE PRESIDENT) |
Authorized Official Contact | 3369038500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 201 Wilkesboro NC 28697 Ph: (336) 903-8500 | 403 East Main Street Wilkesboro NC 28697 Ph: (336) 903-8500 |
NPI Number | 1437214715 |
---|---|
Provider Enumeration Date | 12/27/2006 |
Last Update Date | 05/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437214715 | NPI | - | NPPES |
8300830S | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | MHL097052 (North Carolina) | Primary |
Jodi Province Counseling Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1260 College Ave Ste 1, Wilkesboro, NC 28697 Phone: 336-818-0733 Fax: 336-818-0734 | |
Northwest Neurology, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Meadowview Dr, Wilkesboro, NC 28697 Phone: 336-838-7111 Fax: 336-838-4299 | |
Turning Point Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 School St, Wilkesboro, NC 28697 Phone: 336-667-2408 |