| Tar Heel Human Services, Inc. | |
|
220 East Main Street Wallace NC 28466-2365 | |
| (910) 298-6207 | |
| (910) 298-6293 |
| Full Name | Tar Heel Human Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 220 East Main Street, Wallace, North Carolina |
| Authorized Official Name and Position | Michael B Jones (OWNER) |
| Authorized Official Contact | 9102986207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tar Heel Human Services, Inc. Po Box 1321 Beulaville NC 28518-1321 Ph: (910) 298-6207 | Tar Heel Human Services, Inc. 220 East Main Street Wallace NC 28466-2365 Ph: (910) 298-6207 |
| NPI Number | 1053798520 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053798520 | NPI | - | NPPES |
| 6005238 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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