Rebirth Llc | |
534 Mcgirt Road Maxton NC 28364 | |
(910) 373-7035 | |
(843) 400-5045 |
Full Name | Rebirth Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 534 Mcgirt Road, Maxton, North Carolina |
Authorized Official Name and Position | Robert Lamont Smith (CEO) |
Authorized Official Contact | 9103737035 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rebirth Llc P.o. Box 400 Maxton NC 28364 Ph: (910) 373-7035 | Rebirth Llc 534 Mcgirt Road Maxton NC 28364 Ph: (910) 373-7035 |
NPI Number | 1689333544 |
---|---|
Provider Enumeration Date | 12/08/2021 |
Last Update Date | 12/08/2021 |
Certification Date | 12/08/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689333544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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