| August Commons Llc | |
|
152 Wind Chime Ct Raleigh NC 27615-6433 | |
| (800) 574-8511 | |
| (888) 245-5107 |
| Full Name | August Commons Llc |
|---|---|
| Speciality | Social Worker |
| Location | 152 Wind Chime Ct, Raleigh, North Carolina |
| Authorized Official Name and Position | Crystal Denee Bush (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9842924235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| August Commons Llc 109 Marianna Pl Garner NC 27529-7683 Ph: (984) 292-4235 | August Commons Llc 152 Wind Chime Ct Raleigh NC 27615-6433 Ph: (800) 574-8511 |
| NPI Number | 1194562736 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194562736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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