| Partnership For A Drug Free Nc Inc | |
|
610 E Center Ave 2nd Floor Mooresville NC 28115-2578 | |
| (704) 660-1020 | |
| Not Available |
| Full Name | Partnership For A Drug Free Nc Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 610 E Center Ave, Mooresville, North Carolina |
| Authorized Official Name and Position | Jeffrey Matkins (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3367143367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Partnership For A Drug Free Nc Inc 665 W 4th St Winston Salem NC 27101-2701 Ph: () - | Partnership For A Drug Free Nc Inc 610 E Center Ave 2nd Floor Mooresville NC 28115-2578 Ph: (704) 660-1020 |
| NPI Number | 1417125121 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417125121 | NPI | - | NPPES |
| 5904283 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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