Project Lazarus | |
5368 Nc Highway 16 S Moravian Falls NC 28654-9586 | |
(336) 667-8100 | |
(866) 400-9915 |
Full Name | Project Lazarus |
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Speciality | Community/behavioral Health |
Location | 5368 Nc Highway 16 S, Moravian Falls, North Carolina |
Authorized Official Name and Position | Fred Wells Brason (PRESIDENT/CEO) |
Authorized Official Contact | 3366678100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Project Lazarus 5368 Nc Highway 16 S Moravian Falls NC 28654-9586 Ph: (336) 667-8100 | Project Lazarus 5368 Nc Highway 16 S Moravian Falls NC 28654-9586 Ph: (336) 667-8100 |
NPI Number | 1679933089 |
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Provider Enumeration Date | 02/26/2016 |
Last Update Date | 02/26/2016 |
Identifier | Type | State | Issuer |
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1679933089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (North Carolina) | Primary |