| Capturing Development Llc | |
|
117 South Main Street Rich Square NC 27869 | |
| (252) 209-4957 | |
| Not Available |
| Full Name | Capturing Development Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 117 South Main Street, Rich Square, North Carolina |
| Authorized Official Name and Position | Carmeltia Edwards (OWNER) |
| Authorized Official Contact | 2522094957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capturing Development Llc Po Box 981 Rich Square NC 27869-0981 Ph: () - | Capturing Development Llc 117 South Main Street Rich Square NC 27869 Ph: (252) 209-4957 |
| NPI Number | 1548716756 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 08/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548716756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Community Day Program, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W Jackson St., Rich Square, NC 27869 Phone: 252-539-6549 Fax: 252-539-6549 |