| Pembroke Center For Wellness, Inc | |
|
773 Old Main Rd Pembroke NC 28372-8753 | |
| (910) 775-9201 | |
| (910) 521-8540 |
| Full Name | Pembroke Center For Wellness, Inc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 773 Old Main Rd, Pembroke, North Carolina |
| Authorized Official Name and Position | Ella Olehonna Lynch (PRESIDENT, CEO) |
| Authorized Official Contact | 9107759201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pembroke Center For Wellness, Inc 773 Old Main Rd Pembroke NC 28372-8753 Ph: (910) 775-9201 | Pembroke Center For Wellness, Inc 773 Old Main Rd Pembroke NC 28372-8753 Ph: (910) 775-9201 |
| NPI Number | 1467726448 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467726448 | NPI | - | NPPES |
| 5917311 | Medicaid | NC |
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Positive Progress Services Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 E 3rd St, Suite #5, Pembroke, NC 28372 Phone: 910-521-7461 Fax: 910-521-7463 | |
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