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110 E Boston Ave Pinebluff NC 28373-8033 | |
(336) 495-2700 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 110 E Boston Ave, Pinebluff, North Carolina |
Authorized Official Name and Position | Kenneth A Burrow (CEO) |
Authorized Official Contact | 3364952700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 814 Randleman NC 27317-0814 Ph: (336) 495-2700 | 110 E Boston Ave Pinebluff NC 28373-8033 Ph: (336) 495-2700 |
NPI Number | 1376874313 |
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Provider Enumeration Date | 01/14/2010 |
Last Update Date | 01/14/2010 |
Identifier | Type | State | Issuer |
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1376874313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |