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101 Manning Dr Chapel Hill NC 27514-4220 | |
| (919) 966-0420 | |
| (919) 966-9983 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 101 Manning Dr, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Christopher Scott Ellington (CFO) |
| Authorized Official Contact | 9199665111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
211 Friday Center Dr Suite 2091, Room 2101 Chapel Hill NC 27517-9499 Ph: (919) 966-0420 | 101 Manning Dr Chapel Hill NC 27514-4220 Ph: (919) 966-0420 |
| NPI Number | 1790849586 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 04/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790849586 | NPI | - | NPPES |
| 001FP | Other | NC | BCBSNC PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | H0157 (North Carolina) | Primary |
Freedom House Recovery Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 New Stateside Dr, Chapel Hill, NC 27516 Phone: 919-942-2803 Fax: 919-942-2126 | |
Darryl F. Smith, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Cloister Ct, Suite 100, Chapel Hill, NC 27514 Phone: 919-402-4300 Fax: 919-420-4330 | |
Rachel Carroll, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1818 Mlk Blvd # 105, Chapel Hill, NC 27514 Phone: 919-614-9791 | |