| Village Life Cathedral, Inc | |
|
1619 W Ward Ave High Point NC 27260-1535 | |
| (336) 882-0025 | |
| Not Available |
| Full Name | Village Life Cathedral, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1619 W Ward Ave, High Point, North Carolina |
| Authorized Official Name and Position | Darryl Mccarroll (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3369870333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Life Cathedral, Inc 1619 W Ward Ave High Point NC 27260-1535 Ph: (336) 882-0025 | Village Life Cathedral, Inc 1619 W Ward Ave High Point NC 27260-1535 Ph: (336) 882-0025 |
| NPI Number | 1144904343 |
|---|---|
| Provider Enumeration Date | 06/09/2023 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144904343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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