Passageway Psr | |
220 E 1st Ave Ext. Rms 100 - 123 Lexington NC 27292-3317 | |
(336) 242-2406 | |
(336) 242-2405 |
Full Name | Passageway Psr |
---|---|
Speciality | Community/behavioral Health |
Location | 220 E 1st Ave, Lexington, North Carolina |
Authorized Official Name and Position | Jennifer D Lozano (DIRECTOR OF REVENUE CYCLE) |
Authorized Official Contact | 4043642900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Passageway Psr 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | Passageway Psr 220 E 1st Ave Ext. Rms 100 - 123 Lexington NC 27292-3317 Ph: (336) 242-2406 |
NPI Number | 1396033304 |
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Provider Enumeration Date | 07/12/2011 |
Last Update Date | 09/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396033304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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