| Southwood Place Group And Developmental Center, Inc. | |
|
1407 Southwood Pl Monroe NC 28112-6370 | |
| (704) 283-3099 | |
| Not Available |
| Full Name | Southwood Place Group And Developmental Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1407 Southwood Pl, Monroe, North Carolina |
| Authorized Official Name and Position | Annie A Ivey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7042833099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwood Place Group And Developmental Center, Inc. Po Box 396 Monroe NC 28111-0396 Ph: (704) 283-3099 | Southwood Place Group And Developmental Center, Inc. 1407 Southwood Pl Monroe NC 28112-6370 Ph: (704) 283-3099 |
| NPI Number | 1265567259 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265567259 | NPI | - | NPPES |
| 3409555 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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