| Northeastern Clinical Services Inc | |
|
103 Dundee St Windsor NC 27983-6702 | |
| (252) 794-1255 | |
| (252) 794-1356 |
| Full Name | Northeastern Clinical Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 103 Dundee St, Windsor, North Carolina |
| Authorized Official Name and Position | Erica H Brooks (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2523321610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Clinical Services Inc Po Box 291 Windsor NC 27983-0291 Ph: (252) 794-1255 | Northeastern Clinical Services Inc 103 Dundee St Windsor NC 27983-6702 Ph: (252) 794-1255 |
| NPI Number | 1548332703 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548332703 | NPI | - | NPPES |
| 6107194 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2526 (North Carolina) | Primary |
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