| Umoja Behavioral Health Care Llc | |
|
2120 Springs St Suite B Mount Holly NC 28120-2198 | |
| (704) 820-6501 | |
| (704) 820-6506 |
| Full Name | Umoja Behavioral Health Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2120 Springs St, Mount Holly, North Carolina |
| Authorized Official Name and Position | Lillene Nathan (OWNER) |
| Authorized Official Contact | 7048206501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umoja Behavioral Health Care Llc 2120 Springs St Suite B Mount Holly NC 28120-2198 Ph: (704) 820-6501 | Umoja Behavioral Health Care Llc 2120 Springs St Suite B Mount Holly NC 28120-2198 Ph: (704) 820-6501 |
| NPI Number | 1770811143 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 11/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770811143 | NPI | - | NPPES |
| 1689900235 | Medicaid | NC | |
| 1942483193 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 830226 (North Carolina) | Primary |
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