| Oversight Community Services | |
|
2543 Ravenhill Dr Suite E Fayetteville NC 28303-9618 | |
| (910) 728-4564 | |
| (910) 223-0255 |
| Full Name | Oversight Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2543 Ravenhill Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Tracy Ann Johnson (CEO/ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 9107284564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oversight Community Services 2543 Ravenhill Dr Suite E Fayetteville NC 28303-9618 Ph: (910) 728-4564 | Oversight Community Services 2543 Ravenhill Dr Suite E Fayetteville NC 28303-9618 Ph: (910) 728-4564 |
| NPI Number | 1447486592 |
|---|---|
| Provider Enumeration Date | 06/03/2009 |
| Last Update Date | 06/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447486592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4273 (North Carolina) | Primary |
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