Soaringabovesocietalstandardsinc. | |
1068 Evans Lane Robersonville NC 27871 | |
(252) 217-7409 | |
(252) 217-7409 |
Full Name | Soaringabovesocietalstandardsinc. |
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Speciality | Community/behavioral Health |
Location | 1068 Evans Lane, Robersonville, North Carolina |
Authorized Official Name and Position | Laqueita Quarzette Little (CEO) |
Authorized Official Contact | 2522177409 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Soaringabovesocietalstandardsinc. Po Box 107 Robersonville NC 27871-0107 Ph: (252) 217-7409 | Soaringabovesocietalstandardsinc. 1068 Evans Lane Robersonville NC 27871 Ph: (252) 217-7409 |
NPI Number | 1972988814 |
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Provider Enumeration Date | 07/21/2015 |
Last Update Date | 07/21/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972988814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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