| Prime Agency Llc | |
|
111 E 3rd St Greenville NC 27858-1803 | |
| (252) 714-2369 | |
| Not Available |
| Full Name | Prime Agency Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 111 E 3rd St, Greenville, North Carolina |
| Authorized Official Name and Position | Annette Johnson (PRESIDENT/OWNER) |
| Authorized Official Contact | 2527142369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Agency Llc 111 E 3rd St Ste 2 Greenville NC 27858-1803 Ph: () - | Prime Agency Llc 111 E 3rd St Greenville NC 27858-1803 Ph: (252) 714-2369 |
| NPI Number | 1326327461 |
|---|---|
| Provider Enumeration Date | 08/07/2011 |
| Last Update Date | 08/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326327461 | NPI | - | NPPES |
| 261QM0801X | Medicaid | NC |
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