| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 801 Reid St E, Wilson, North Carolina |
| Authorized Official Name and Position | Howard Jones (PRESIDENT & CEO) |
| Authorized Official Contact | 2522910038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
801 Reid St E Wilson NC 27893-5340 Ph: () - | 801 Reid St E Wilson NC 27893-5340 Ph: (252) 291-0038 |
| NPI Number | 1962541771 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962541771 | NPI | - | NPPES |
| 8700290 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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