Peer Support Nc | |
1712 S Lafayette St Shelby NC 28152-7151 | |
(704) 492-1533 | |
Not Available |
Full Name | Peer Support Nc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1712 S Lafayette St, Shelby, North Carolina |
Authorized Official Name and Position | Keon Devonte Breeden (DIRECTOR) |
Authorized Official Contact | 7043868651 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peer Support Nc 5502 Mcchesney Dr Charlotte NC 28269-7188 Ph: (704) 492-5509 | Peer Support Nc 1712 S Lafayette St Shelby NC 28152-7151 Ph: (704) 492-1533 |
NPI Number | 1346934288 |
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Provider Enumeration Date | 06/05/2023 |
Last Update Date | 06/05/2023 |
Certification Date | 06/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346934288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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