Mga Behavior Therapy Llc | |
3400 Walsh Pkwy Ste 248 Fayetteville NC 28311-1642 | |
(910) 839-0239 | |
Not Available |
Full Name | Mga Behavior Therapy Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3400 Walsh Pkwy Ste 248, Fayetteville, North Carolina |
Authorized Official Name and Position | Alexandra Koloskus (CHIEF COMPLIANCE OFFICER) |
Authorized Official Contact | 7202767706 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mga Behavior Therapy Llc 1355 Garden Of The Gods Rd Ste 130 Colorado Springs CO 80907-3595 Ph: (719) 212-6535 | Mga Behavior Therapy Llc 3400 Walsh Pkwy Ste 248 Fayetteville NC 28311-1642 Ph: (910) 839-0239 |
NPI Number | 1033997465 |
---|---|
Provider Enumeration Date | 09/18/2023 |
Last Update Date | 09/18/2023 |
Certification Date | 09/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033997465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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