| Alamance Caswell Area Mh Dd Sa Services | |
|
319 N Graham Hopedale Rd Suite A Burlington NC 27217-2992 | |
| (336) 513-4200 | |
| (336) 513-4379 |
| Full Name | Alamance Caswell Area Mh Dd Sa Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 319 N Graham Hopedale Rd, Burlington, North Carolina |
| Authorized Official Name and Position | Clayron Bryan Mccain (REIMBURSEMENT OFFICER) |
| Authorized Official Contact | 3365134200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alamance Caswell Area Mh Dd Sa Services 319 N Graham Hopedale Rd Suite A Burlington NC 27217-2992 Ph: (336) 513-4200 | Alamance Caswell Area Mh Dd Sa Services 319 N Graham Hopedale Rd Suite A Burlington NC 27217-2992 Ph: (336) 513-4200 |
| NPI Number | 1023131711 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 02/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023131711 | NPI | - | NPPES |
| 5901663 | Medicaid | NC | |
| 07053 | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 3404920 | Medicaid | NC | |
| 6005767 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MHL001056 (North Carolina) | Primary |
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