| Peace In The City | |
|
143 Old Wagy Rd Forest City NC 28043-9466 | |
| (828) 429-1811 | |
| Not Available |
| Full Name | Peace In The City |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 143 Old Wagy Rd, Forest City, North Carolina |
| Authorized Official Name and Position | Michelle Allen Lattimore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8284291811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace In The City Po Box 987 Forest City NC 28043-0987 Ph: (828) 429-1811 | Peace In The City 143 Old Wagy Rd Forest City NC 28043-9466 Ph: (828) 429-1811 |
| NPI Number | 1972921815 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972921815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (North Carolina) | Secondary |
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