| Stinson Dda#2 | |
|
201 E Harden St Graham NC 27253-3009 | |
| (336) 227-7791 | |
| Not Available |
| Full Name | Stinson Dda#2 |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 201 E Harden St, Graham, North Carolina |
| Authorized Official Name and Position | Delores Stinson (ADMINISTRATOR) |
| Authorized Official Contact | 3362277791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stinson Dda#2 201 E Harden St Graham NC 27253-3009 Ph: (336) 227-7791 | Stinson Dda#2 201 E Harden St Graham NC 27253-3009 Ph: (336) 227-7791 |
| NPI Number | 1649479957 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649479957 | NPI | - | NPPES |
| 7804517 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MHL001080 (North Carolina) | Primary |
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