| Brite Smilz Family & Community Connections Llc | |
|
1165 Gregory Dr Roanoke Rapids NC 27870 | |
| (252) 537-7575 | |
| (252) 537-9008 |
| Full Name | Brite Smilz Family & Community Connections Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1165 Gregory Dr, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Evelyn S Dawson (DIRECTOR) |
| Authorized Official Contact | 2525377575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brite Smilz Family & Community Connections Llc Po Box 86 1165 Gregory Dr Roanoke Rapids NC 27870 Ph: (252) 537-7575 | Brite Smilz Family & Community Connections Llc 1165 Gregory Dr Roanoke Rapids NC 27870 Ph: (252) 537-7575 |
| NPI Number | 1427159078 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427159078 | NPI | - | NPPES |
| 018G5 | Other | NC | BLUECROSS BLUESHIELD |
| 6005333 | Medicaid | NC | |
| 8301698Q | Medicaid | NC | |
| 8300814B | Medicaid | NC | |
| 8300814G | Medicaid | NC | |
| 8301698P | Medicaid | NC | |
| 8300599B | Medicaid | NC | |
| 3408200 | Medicaid | NC | |
| 8300599G | Medicaid | NC |
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