| Fbtc Transitional Sub, Llc | |
|
1216 Mann Dr Matthews NC 28105-5512 | |
| (980) 262-3043 | |
| (980) 339-5617 |
| Full Name | Fbtc Transitional Sub, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1216 Mann Dr, Matthews, North Carolina |
| Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (VP & SR. ASST GENERAL COUNSEL) |
| Authorized Official Contact | 9528362234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fbtc Transitional Sub, Llc 55 Tozer Rd Beverly MA 01915-5515 Ph: (978) 969-2894 | Fbtc Transitional Sub, Llc 1216 Mann Dr Matthews NC 28105-5512 Ph: (980) 262-3043 |
| NPI Number | 1073387874 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073387874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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