| Nuevo Destino Health Alliance Llc | |
|
1244 N Flint St Lincolnton NC 28092-5239 | |
| (704) 732-0513 | |
| Not Available |
| Full Name | Nuevo Destino Health Alliance Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1244 N Flint St, Lincolnton, North Carolina |
| Authorized Official Name and Position | Karen L Melendez (OWNER) |
| Authorized Official Contact | 7047320513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuevo Destino Health Alliance Llc 1244 N Flint St Lincolnton NC 28092-5239 Ph: () - | Nuevo Destino Health Alliance Llc 1244 N Flint St Lincolnton NC 28092-5239 Ph: (704) 732-0513 |
| NPI Number | 1578851580 |
|---|---|
| Provider Enumeration Date | 07/12/2011 |
| Last Update Date | 07/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578851580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 2008-01590 (North Carolina) | Primary |
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