| Visionquest Lodgemakers | |
|
3101 Guess Rd Ste D Durham NC 27705-2678 | |
| (919) 794-3814 | |
| (919) 530-1895 |
| Full Name | Visionquest Lodgemakers |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3101 Guess Rd Ste D, Durham, North Carolina |
| Authorized Official Name and Position | Beth Ann Rosica (VICE PRESIDENT) |
| Authorized Official Contact | 6104862280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visionquest Lodgemakers 150 E Pennsylvania Ave Suite 430 Downingtown PA 19335-2632 Ph: (610) 486-2280 | Visionquest Lodgemakers 3101 Guess Rd Ste D Durham NC 27705-2678 Ph: (919) 794-3814 |
| NPI Number | 1972838662 |
|---|---|
| Provider Enumeration Date | 10/14/2009 |
| Last Update Date | 05/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972838662 | NPI | - | NPPES |
| 8302933 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL 032-513 (North Carolina) | Primary |
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