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3709 Nash St Nw Wilson NC 27896-1127 | |
(252) 206-5799 | |
(252) 206-5778 |
Full Name | |
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Speciality | Community/Behavioral Health |
Location | 3709 Nash St Nw, Wilson, North Carolina |
Authorized Official Name and Position | Jay Higham (CEO) |
Authorized Official Contact | 2143656112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | 3709 Nash St Nw Wilson NC 27896-1127 Ph: (252) 206-5799 |
NPI Number | 1346667938 |
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Provider Enumeration Date | 03/21/2014 |
Last Update Date | 12/26/2024 |
Certification Date | 12/26/2024 |
Medicare PECOS PAC ID | 4284061854 |
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Medicare Enrollment ID | O20200219002945 |
Identifier | Type | State | Issuer |
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1346667938 | NPI | - | NPPES |
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