Palms Wellness Center Inc | |
472d Western Blvd Jacksonville NC 28546-6824 | |
(910) 238-4513 | |
(910) 238-4745 |
Full Name | Palms Wellness Center Inc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 472d Western Blvd, Jacksonville, North Carolina |
Authorized Official Name and Position | Victor Barnes (OWNER) |
Authorized Official Contact | 9102384200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Palms Wellness Center Inc 472d Western Blvd Jacksonville NC 28546-6824 Ph: (910) 238-4513 | Palms Wellness Center Inc 472d Western Blvd Jacksonville NC 28546-6824 Ph: (910) 238-4513 |
NPI Number | 1821326828 |
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Provider Enumeration Date | 12/02/2009 |
Last Update Date | 01/08/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821326828 | NPI | - | NPPES |
8913388 | Medicaid | NC | |
13388 | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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