| Na | |
|
200 Eagles Mere Trl Rocky Mount NC 27804-8850 | |
| (252) 442-4209 | |
| Not Available |
| Full Name | Na |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 200 Eagles Mere Trl, Rocky Mount, North Carolina |
| Authorized Official Name and Position | George Brown (CO-OWNER) |
| Authorized Official Contact | 2529074805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Na 200 Eagles Mere Trl Rocky Mount NC 27804-8850 Ph: (252) 442-4209 | Na 200 Eagles Mere Trl Rocky Mount NC 27804-8850 Ph: (252) 442-4209 |
| NPI Number | 1639485667 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 08/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639485667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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