Roxie Avenue Center | |
1724 Roxie Ave Fayetteville NC 28304-1623 | |
(910) 615-3370 | |
(910) 615-7967 |
Full Name | Roxie Avenue Center |
---|---|
Speciality | Rehabilitation, Substance Use Disorder Unit |
Location | 1724 Roxie Ave, Fayetteville, North Carolina |
Authorized Official Name and Position | Michael Nagowski (CEO) |
Authorized Official Contact | 9106156700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Roxie Avenue Center 1724 Roxie Ave Fayetteville NC 28304-1623 Ph: (910) 615-3370 | Roxie Avenue Center 1724 Roxie Ave Fayetteville NC 28304-1623 Ph: (910) 615-3370 |
NPI Number | 1720384423 |
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Provider Enumeration Date | 01/28/2011 |
Last Update Date | 01/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720384423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | MHL026914 (North Carolina) | Secondary |
276400000X | Rehabilitation, Substance Use Disorder Unit | MHL026914 (North Carolina) | Primary |
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