| Rejuvenating Families Llc | |
|
412 Hamilton Dr Goldsboro NC 27530-6904 | |
| (919) 920-2561 | |
| Not Available |
| Full Name | Rejuvenating Families Llc |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 412 Hamilton Dr, Goldsboro, North Carolina |
| Authorized Official Name and Position | Michelle Celeste Wilson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9199202561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenating Families Llc 412 Hamilton Dr Goldsboro NC 27530-6904 Ph: (919) 920-2561 | Rejuvenating Families Llc 412 Hamilton Dr Goldsboro NC 27530-6904 Ph: (919) 920-2561 |
| NPI Number | 1982271367 |
|---|---|
| Provider Enumeration Date | 06/05/2021 |
| Last Update Date | 08/19/2021 |
| Certification Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982271367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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