| Community Day Program, Llc | |
|
117 W Jackson St. Rich Square NC 27869 | |
| (252) 539-6549 | |
| (252) 539-6549 |
| Full Name | Community Day Program, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 117 W Jackson St., Rich Square, North Carolina |
| Authorized Official Name and Position | Veronica Bowser (CEO/DIRECTOR) |
| Authorized Official Contact | 25253396549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Day Program, Llc Po Box 930 Rich Square NC 27869 Ph: (252) 539-6549 | Community Day Program, Llc 117 W Jackson St. Rich Square NC 27869 Ph: (252) 539-6549 |
| NPI Number | 1588803068 |
|---|---|
| Provider Enumeration Date | 02/06/2009 |
| Last Update Date | 02/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588803068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Capturing Development Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 South Main Street, Rich Square, NC 27869 Phone: 252-209-4957 |