| Sunpath Llc | |
|
415 W Main Ave Gastonia NC 28052-3844 | |
| (704) 478-6093 | |
| Not Available |
| Full Name | Sunpath Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 415 W Main Ave, Gastonia, North Carolina |
| Authorized Official Name and Position | Alonzo Morrow (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7044786093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunpath Llc Po Box 864 Gastonia NC 28053-0864 Ph: (704) 478-6093 | Sunpath Llc 415 W Main Ave Gastonia NC 28052-3844 Ph: (704) 478-6093 |
| NPI Number | 1972887131 |
|---|---|
| Provider Enumeration Date | 10/06/2011 |
| Last Update Date | 10/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972887131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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