Nc Mentor | |
542 Williamson Rd Suite 6 Mooresville NC 28117-8193 | |
(919) 790-8580 | |
(919) 866-3255 |
Full Name | Nc Mentor |
---|---|
Speciality | Community/behavioral Health |
Location | 542 Williamson Rd, Mooresville, North Carolina |
Authorized Official Name and Position | Charles Davis (STATE DIRECTOR) |
Authorized Official Contact | 9197908580 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nc Mentor 3125 Poplarwood Ct Suite 300 Raleigh NC 27604-1084 Ph: (919) 790-8580 | Nc Mentor 542 Williamson Rd Suite 6 Mooresville NC 28117-8193 Ph: (919) 790-8580 |
NPI Number | 1144352360 |
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Provider Enumeration Date | 03/12/2007 |
Last Update Date | 03/27/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144352360 | NPI | - | NPPES |
8303026 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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