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91 Timberlane Rd Waynesville NC 28786-7927 | |
| (828) 586-5501 | |
| (828) 586-3965 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 91 Timberlane Rd, Waynesville, North Carolina |
| Authorized Official Name and Position | Thomas W. Mcdevitt (AREA DIRECTOR) |
| Authorized Official Contact | 8285865501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
44 Bonnie Lane Sylva NC 28779-8511 Ph: (828) 586-5501 | 91 Timberlane Rd Waynesville NC 28786-7927 Ph: (828) 586-5501 |
| NPI Number | 1790800225 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790800225 | NPI | - | NPPES |
| 2801105D | Other | NC | MEDICARE |
| 6005662 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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