| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 Linden Ct, Garner, North Carolina |
| Authorized Official Name and Position | Travis Edward Williams (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9199154800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2181 Garner NC 27529-2181 Ph: (919) 915-4800 | 110 Linden Ct Garner NC 27529-8108 Ph: (919) 915-4800 |
| NPI Number | 1124494497 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 09/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124494497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8845 (North Carolina) | Primary |
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