| Oasis Clinical Care Management | |
|
1006 Sebastian Ct Indian Trail NC 28079-3688 | |
| (980) 328-3490 | |
| (800) 853-9535 |
| Full Name | Oasis Clinical Care Management |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1006 Sebastian Ct, Indian Trail, North Carolina |
| Authorized Official Name and Position | Theodus Roach (OWNER) |
| Authorized Official Contact | 9803283490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Clinical Care Management 1006 Sebastian Ct Indian Trail NC 28079-3688 Ph: (980) 328-3490 | Oasis Clinical Care Management 1006 Sebastian Ct Indian Trail NC 28079-3688 Ph: (980) 328-3490 |
| NPI Number | 1649391939 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649391939 | NPI | - | NPPES |
| 6005982 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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