Restart Inc. Rocky Mt | |
301 S Church St Rocky Mount NC 27804-5755 | |
(252) 442-1359 | |
Not Available |
Full Name | Restart Inc. Rocky Mt |
---|---|
Speciality | Community/behavioral Health |
Location | 301 S Church St, Rocky Mount, North Carolina |
Authorized Official Name and Position | Dennis Mitchell (CEO) |
Authorized Official Contact | 2523554725 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Restart Inc. Rocky Mt 2602 Courtier Dr Greenville NC 27834-7818 Ph: () - | Restart Inc. Rocky Mt 301 S Church St Rocky Mount NC 27804-5755 Ph: (252) 442-1359 |
NPI Number | 1073749693 |
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Provider Enumeration Date | 06/10/2009 |
Last Update Date | 06/10/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073749693 | NPI | - | NPPES |
8301850 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 8301850 (North Carolina) | Primary |
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