| Ascension Group LLC | |
|
828 Cameron Village Dr 207 Matthews NC 28105-0913 | |
| (704) 844-9238 | |
| (704) 844-9238 |
| Full Name | Ascension Group LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 828 Cameron Village Dr, Matthews, North Carolina |
| Authorized Official Name and Position | Terry Lopez (CEO) |
| Authorized Official Contact | 7048449238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Group LLC 828 Cameron Village Dr 207 Matthews NC 28105-0913 Ph: (704) 844-9238 | Ascension Group LLC 828 Cameron Village Dr 207 Matthews NC 28105-0913 Ph: (704) 844-9238 |
| NPI Number | 1194054437 |
|---|---|
| Provider Enumeration Date | 12/16/2009 |
| Last Update Date | 03/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194054437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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