| Place Of Purpose | |
|
109 Dr Mlk Jr Dr N Ahoskie NC 27910-7612 | |
| (252) 395-0631 | |
| Not Available |
| Full Name | Place Of Purpose |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 109 Dr Mlk Jr Dr N, Ahoskie, North Carolina |
| Authorized Official Name and Position | Candance H Mebane (CEO) |
| Authorized Official Contact | 2523950631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Place Of Purpose 150 Choanoke Indian Trl Winton NC 27986-9512 Ph: (252) 395-0631 | Place Of Purpose 109 Dr Mlk Jr Dr N Ahoskie NC 27910-7612 Ph: (252) 395-0631 |
| NPI Number | 1285190355 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 02/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285190355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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