| People Of Potential, Inc | |
|
1703 Country Club Rd Suite 305 Jacksonville NC 28546-6008 | |
| (901) 989-1224 | |
| (910) 938-0045 |
| Full Name | People Of Potential, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1703 Country Club Rd, Jacksonville, North Carolina |
| Authorized Official Name and Position | Dawn L Mccullen (DIRECTOR) |
| Authorized Official Contact | 9102651756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| People Of Potential, Inc 1703 Country Club Rd Ste 305 Jacksonville NC 28546-6006 Ph: (901) 989-1224 | People Of Potential, Inc 1703 Country Club Rd Suite 305 Jacksonville NC 28546-6008 Ph: (901) 989-1224 |
| NPI Number | 1487838520 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487838520 | NPI | - | NPPES |
| 8301274B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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