| Personalized Therapy, Inc. | |
|
1226 Mann Dr Suite 100 Matthews NC 28105-5532 | |
| (704) 846-1625 | |
| (704) 846-1635 |
| Full Name | Personalized Therapy, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1226 Mann Dr, Matthews, North Carolina |
| Authorized Official Name and Position | Christie Sayers Martin (QA/QI DIRECTOR) |
| Authorized Official Contact | 2523534968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalized Therapy, Inc. 925 Conference Dr Suite B Greenville NC 27858-5971 Ph: (252) 353-4968 | Personalized Therapy, Inc. 1226 Mann Dr Suite 100 Matthews NC 28105-5532 Ph: (704) 846-1625 |
| NPI Number | 1316125545 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 09/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316125545 | NPI | - | NPPES |
| 8301790B | Medicaid | NC | |
| 8301790 | Medicaid | NC | |
| 8301790G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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