A-1 Community Support Llc | |
523 S Chestnut St Henderson NC 27536-4102 | |
(252) 433-0255 | |
(866) 583-9593 |
Full Name | A-1 Community Support Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 523 S Chestnut St, Henderson, North Carolina |
Authorized Official Name and Position | Crystal Denee' Bush (DIRECTOR) |
Authorized Official Contact | 2529154755 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
A-1 Community Support Llc 523 S Chestnut St Henderson NC 27536-4102 Ph: (252) 433-0255 | A-1 Community Support Llc 523 S Chestnut St Henderson NC 27536-4102 Ph: (252) 433-0255 |
NPI Number | 1104009406 |
---|---|
Provider Enumeration Date | 12/10/2007 |
Last Update Date | 11/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104009406 | NPI | - | NPPES |
5950172 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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