| On A Mission, Llc | |
|
3601 Creekside Dr Gastonia NC 28056-7118 | |
| (980) 925-3872 | |
| Not Available |
| Full Name | On A Mission, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3601 Creekside Dr, Gastonia, North Carolina |
| Authorized Official Name and Position | Miranda Wilson (OWNER/ORGANIZER) |
| Authorized Official Contact | 9809253872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On A Mission, Llc 3601 Creekside Dr Gastonia NC 28056-7118 Ph: (980) 925-3872 | On A Mission, Llc 3601 Creekside Dr Gastonia NC 28056-7118 Ph: (980) 925-3872 |
| NPI Number | 1083350086 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083350086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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