| Boys And Girls Clubs Of Central Carolina | |
|
1414 Bragg St Sanford NC 27330-5435 | |
| (919) 825-0101 | |
| Not Available |
| Full Name | Boys And Girls Clubs Of Central Carolina |
|---|---|
| Speciality | Counselor |
| Location | 1414 Bragg St, Sanford, North Carolina |
| Authorized Official Name and Position | Fallon Brewington (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9198250101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boys And Girls Clubs Of Central Carolina 1414 Bragg St Sanford NC 27330-5435 Ph: (919) 825-0101 | Boys And Girls Clubs Of Central Carolina 1414 Bragg St Sanford NC 27330-5435 Ph: (919) 825-0101 |
| NPI Number | 1669341772 |
|---|---|
| Provider Enumeration Date | 11/05/2025 |
| Last Update Date | 11/05/2025 |
| Certification Date | 11/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669341772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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