| Vertex South Llc | |
|
2409 Dan And Mary St Elizabeth Cty NC 27909-9085 | |
| (718) 653-1117 | |
| Not Available |
| Full Name | Vertex South Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2409 Dan And Mary St, Elizabeth Cty, North Carolina |
| Authorized Official Name and Position | Zoya Gornopolsky (PRESIDENT) |
| Authorized Official Contact | 7186531117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vertex South Llc 1080 E Gun Hill Rd Bronx NY 10469-3742 Ph: (718) 653-1117 | Vertex South Llc 2409 Dan And Mary St Elizabeth Cty NC 27909-9085 Ph: (718) 653-1117 |
| NPI Number | 1780265447 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780265447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |