| Solid Rock Intervention Services Llc | |
|
15444 Us Hwy 17 N Hampstead NC 28443 | |
| (910) 538-0871 | |
| Not Available |
| Full Name | Solid Rock Intervention Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15444 Us Hwy 17 N, Hampstead, North Carolina |
| Authorized Official Name and Position | Tara L Jacobs (CEO/PRESIDENT) |
| Authorized Official Contact | 9105380871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solid Rock Intervention Services Llc 15444 Us Hwy 17 North Bldg 24g Unit 2 Hampstead NC 28443 Ph: () - | Solid Rock Intervention Services Llc 15444 Us Hwy 17 N Hampstead NC 28443 Ph: (910) 538-0871 |
| NPI Number | 1972772572 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972772572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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