North Carolina Mentor | |
303b S Main St Laurinburg NC 28352-3833 | |
(910) 610-4494 | |
(910) 610-4161 |
Full Name | North Carolina Mentor |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 303b S Main St, Laurinburg, 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 |
---|---|
North Carolina Mentor 313 Congress St Boston MA 02210-1218 Ph: (800) 388-5150 | North Carolina Mentor 303b S Main St Laurinburg NC 28352-3833 Ph: (910) 610-4494 |
NPI Number | 1700103835 |
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Provider Enumeration Date | 04/29/2010 |
Last Update Date | 03/19/2023 |
Certification Date | 03/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700103835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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