C-blac Services, Inc. | |
1300 W Market St Smithfield NC 27577-3339 | |
(919) 989-1786 | |
(919) 989-1791 |
Full Name | C-blac Services, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 1300 W Market St, Smithfield, North Carolina |
Authorized Official Name and Position | Janet M Wise (CEO) |
Authorized Official Contact | 9199891786 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
C-blac Services, Inc. 1302 W Market St Smithfield NC 27577-3339 Ph: (919) 989-1786 | C-blac Services, Inc. 1300 W Market St Smithfield NC 27577-3339 Ph: (919) 989-1786 |
NPI Number | 1184761660 |
---|---|
Provider Enumeration Date | 01/31/2007 |
Last Update Date | 09/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184761660 | NPI | - | NPPES |
5901780 | Medicaid | NC | |
6005614 | Medicaid | NC | |
6600860 | Medicaid | NC | |
8301075 | Medicaid | NC | |
8700356 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MHL 051 128 (North Carolina) | Primary |
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