| North Carolina Mentor | |
|
150 Mcdonald Street West End NC 27376 | |
| (919) 790-8580 | |
| (919) 790-8065 |
| Full Name | North Carolina Mentor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 150 Mcdonald Street, 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 |
|---|---|
| North Carolina Mentor 313 Congress St Boston MA 02210-1218 Ph: (800) 388-5150 | North Carolina Mentor 150 Mcdonald Street West End NC 27376 Ph: (919) 790-8580 |
| NPI Number | 1275862492 |
|---|---|
| Provider Enumeration Date | 12/17/2009 |
| Last Update Date | 03/05/2023 |
| Certification Date | 03/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275862492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Divine Lotus Alignment, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3387 7 Lks W, West End, NC 27376 Phone: 191-030-3479 Fax: 833-672-3384 | |
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