Obsidian Care Collective Pllc | |
100 N Churton St Ste 206 Hillsborough NC 27278-2534 | |
(410) 292-2847 | |
Not Available |
Full Name | Obsidian Care Collective Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 100 N Churton St Ste 206, Hillsborough, North Carolina |
Authorized Official Name and Position | Jacqueline Newton (OWNER) |
Authorized Official Contact | 8282738422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Obsidian Care Collective Pllc 100 N Churton St Ste 206 Hillsborough NC 27278-2534 Ph: () - | Obsidian Care Collective Pllc 100 N Churton St Ste 206 Hillsborough NC 27278-2534 Ph: (410) 292-2847 |
NPI Number | 1336804095 |
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Provider Enumeration Date | 11/07/2021 |
Last Update Date | 11/13/2021 |
Certification Date | 11/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336804095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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