Yadkin Valley Club House | |
748 N State St Yadkinville NC 27055-5253 | |
(336) 849-7451 | |
Not Available |
Full Name | Yadkin Valley Club House |
---|---|
Speciality | Community/behavioral Health |
Location | 748 N State St, Yadkinville, North Carolina |
Authorized Official Name and Position | Kevin L Cochran (FINANCIAL ASSISTANT) |
Authorized Official Contact | 9199810740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Yadkin Valley Club House 1331 Sunday Dr Raleigh NC 27607 Ph: (919) 981-0740 | Yadkin Valley Club House 748 N State St Yadkinville NC 27055-5253 Ph: (336) 849-7451 |
NPI Number | 1639204969 |
---|---|
Provider Enumeration Date | 02/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639204969 | NPI | - | NPPES |
8301450G | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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