| Sally Lewis Grant, Llc | |
|
2500 Peachtree St Goldsboro NC 27534-4312 | |
| (919) 920-3910 | |
| Not Available |
| Full Name | Sally Lewis Grant, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2500 Peachtree St, Goldsboro, North Carolina |
| Authorized Official Name and Position | Sally L Grant (OWNER) |
| Authorized Official Contact | 9199203910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Lewis Grant, Llc Po Box 10174 Goldsboro NC 27532-0174 Ph: (919) 920-3910 | Sally Lewis Grant, Llc 2500 Peachtree St Goldsboro NC 27534-4312 Ph: (919) 920-3910 |
| NPI Number | 1821368432 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821368432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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