| Olive Branch Ministry | |
|
2505 Court Drive Gastonia NC 28054 | |
| (828) 291-7023 | |
| Not Available |
| Full Name | Olive Branch Ministry |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2505 Court Drive, Gastonia, North Carolina |
| Authorized Official Name and Position | Michelle Lea Mathis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8282917023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Ministry 3730 N Center St Hickory NC 28601-8089 Ph: (828) 291-7023 | Olive Branch Ministry 2505 Court Drive Gastonia NC 28054 Ph: (828) 291-7023 |
| NPI Number | 1255801825 |
|---|---|
| Provider Enumeration Date | 11/27/2018 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255801825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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