| Umbrella Of Hope Inc | |
|
1558 Union Rd Ste F Gastonia NC 28054-2215 | |
| (704) 747-6545 | |
| (704) 671-4036 |
| Full Name | Umbrella Of Hope Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1558 Union Rd Ste F, Gastonia, North Carolina |
| Authorized Official Name and Position | Precious Tanyanika Lajoy Jackson (CEO) |
| Authorized Official Contact | 7047476545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umbrella Of Hope Inc 1558 Union Rd Ste F Gastonia NC 28054-2215 Ph: (704) 747-6545 | Umbrella Of Hope Inc 1558 Union Rd Ste F Gastonia NC 28054-2215 Ph: (704) 747-6545 |
| NPI Number | 1164773586 |
|---|---|
| Provider Enumeration Date | 09/25/2012 |
| Last Update Date | 04/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164773586 | NPI | - | NPPES |
| 6104514 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7563 (North Carolina) | Primary |
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