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241 Grant St West End NC 27376-8377 | |
| (919) 790-8580 | |
| (919) 790-8065 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 241 Grant St, West End, North Carolina |
| Authorized Official Name and Position | Brett Ian Cohen (COO) |
| Authorized Official Contact | 8003885150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
313 Congress St Boston MA 02210-1218 Ph: (800) 388-5150 | 241 Grant St West End NC 27376-8377 Ph: (919) 790-8580 |
| NPI Number | 1649315334 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 03/12/2023 |
| Certification Date | 03/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649315334 | NPI | - | NPPES |
| 8301527 | Medicaid | NC |
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