| Cms Agency, Inc. | |
|
408 W. Armfiled St. St. Pauls NC 28384-1526 | |
| (910) 865-9299 | |
| (910) 865-9298 |
| Full Name | Cms Agency, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 408 W. Armfiled St., St. Pauls, North Carolina |
| Authorized Official Name and Position | Tammy Sue Segura (OWNER) |
| Authorized Official Contact | 9108659299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cms Agency, Inc. 408 W. Armfiled St. St. Pauls NC 28384-1526 Ph: (910) 865-9299 | Cms Agency, Inc. 408 W. Armfiled St. St. Pauls NC 28384-1526 Ph: (910) 865-9299 |
| NPI Number | 1861551566 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 11/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861551566 | NPI | - | NPPES |
| 3418028 | Medicaid | NC | |
| 8300081 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Elite Aaolescent Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20513 S Highway 301 North, St. Pauls, NC 28384 Phone: 910-483-0234 Fax: 910-483-2246 |