| 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 | 1770619686 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770619686 | NPI | - | NPPES |
| 8301450S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-099-018 (North Carolina) | Primary |
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