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100 S Garnett St Unit 105 Henderson NC 27536-4642 | |
| (919) 622-5532 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 100 S Garnett St Unit 105, Henderson, North Carolina |
| Authorized Official Name and Position | Lindsey Humphreys (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9196225532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 S Garnett St Unit 105 Henderson NC 27536-4642 Ph: (919) 622-5532 | 100 S Garnett St Unit 105 Henderson NC 27536-4642 Ph: (919) 622-5532 |
| NPI Number | 1821844796 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821844796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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