| The M.e. Green House | |
|
139 Pinehurst Ave Ste A Southern Pines NC 28387-7099 | |
| (803) 554-9683 | |
| (803) 693-0829 |
| Full Name | The M.e. Green House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 139 Pinehurst Ave Ste A, Southern Pines, North Carolina |
| Authorized Official Name and Position | Melani Green (OWNER) |
| Authorized Official Contact | 8035548638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The M.e. Green House 139 Pinehurst Ave Ste A Southern Pines NC 28387-7099 Ph: (910) 725-1246 | The M.e. Green House 139 Pinehurst Ave Ste A Southern Pines NC 28387-7099 Ph: (803) 554-9683 |
| NPI Number | 1891069761 |
|---|---|
| Provider Enumeration Date | 02/24/2012 |
| Last Update Date | 01/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891069761 | NPI | - | NPPES |
| 8303591 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-063-102 (North Carolina) | Primary |
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