Therapeutic Behavioral Healthcare Services | |
302 N Main St Fairmont NC 28340-1730 | |
(910) 628-5655 | |
Not Available |
Full Name | Therapeutic Behavioral Healthcare Services |
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Speciality | Counselor |
Location | 302 N Main St, Fairmont, North Carolina |
Authorized Official Name and Position | Willie E Spruill (CEO) |
Authorized Official Contact | 9106285655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Therapeutic Behavioral Healthcare Services Po Box 1664 Fairmont NC 28340-1103 Ph: (910) 628-5655 | Therapeutic Behavioral Healthcare Services 302 N Main St Fairmont NC 28340-1730 Ph: (910) 628-5655 |
NPI Number | 1033441977 |
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Provider Enumeration Date | 02/03/2010 |
Last Update Date | 02/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033441977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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