| Neuse Center Mhddsas | |
|
405 Middle St New Bern NC 28560-4930 | |
| (252) 636-1510 | |
| Not Available |
| Full Name | Neuse Center Mhddsas |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 405 Middle St, New Bern, North Carolina |
| Authorized Official Name and Position | Kim Ellis (INFORMATION LIAISON) |
| Authorized Official Contact | 2526397720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuse Center Mhddsas Po Box 1636 New Bern NC 28563-1636 Ph: (252) 636-1510 | Neuse Center Mhddsas 405 Middle St New Bern NC 28560-4930 Ph: (252) 636-1510 |
| NPI Number | 1659428043 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659428043 | NPI | - | NPPES |
| 3404939 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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