Full Name | |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 104 Plaza Dr, Garner, North Carolina |
Authorized Official Name and Position | Charles C Courtney Strickland (OWNER) |
Authorized Official Contact | 4043242718 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
104 Plaza Dr Garner NC 27529-2726 Ph: (804) 704-1258 | 104 Plaza Dr Garner NC 27529-2726 Ph: (404) 324-2718 |
NPI Number | 1194287607 |
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Provider Enumeration Date | 04/03/2019 |
Last Update Date | 12/05/2023 |
Certification Date | 12/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194287607 | NPI | - | NPPES |
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