| Carolina Choice Llc | |
|
4110 Holly Ridge Rd Trent Woods NC 28562-7213 | |
| (252) 633-3855 | |
| (252) 633-1548 |
| Full Name | Carolina Choice Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4110 Holly Ridge Rd, Trent Woods, North Carolina |
| Authorized Official Name and Position | Donna Simon (BILING OFFICER) |
| Authorized Official Contact | 2526333855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Choice Llc Po Box 12189 New Bern NC 28561-2189 Ph: (252) 633-3855 | Carolina Choice Llc 4110 Holly Ridge Rd Trent Woods NC 28562-7213 Ph: (252) 633-3855 |
| NPI Number | 1033245477 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 11/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033245477 | NPI | - | NPPES |
| 6603292 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Carolina Choice, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3610 Wedgewood Dr, Trent Woods, NC 28562 Phone: 252-633-3855 Fax: 252-633-1548 | |
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