Wilmington Bhs | |
2023 S 17th St 1b Wilmington NC 28401-6600 | |
(910) 763-5355 | |
(910) 763-5340 |
Full Name | Wilmington Bhs |
---|---|
Speciality | Community/behavioral Health |
Location | 2023 S 17th St, Wilmington, North Carolina |
Authorized Official Name and Position | Jennifer D Lozano (DIRECTOR) |
Authorized Official Contact | 4043642900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wilmington Bhs 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | Wilmington Bhs 2023 S 17th St 1b Wilmington NC 28401-6600 Ph: (910) 763-5355 |
NPI Number | 1215069646 |
---|---|
Provider Enumeration Date | 03/12/2007 |
Last Update Date | 09/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215069646 | NPI | - | NPPES |
8300226B | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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