| Community Re-entry Program | |
|
1480 Pamalee Dr Ste 100 Fayetteville NC 28303-3928 | |
| (910) 488-7517 | |
| Not Available |
| Full Name | Community Re-entry Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1480 Pamalee Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Denise Haire (CEO) |
| Authorized Official Contact | 9104887517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Re-entry Program 1480 Pamalee Dr Fayetteville NC 28303-3928 Ph: (910) 488-7517 | Community Re-entry Program 1480 Pamalee Dr Ste 100 Fayetteville NC 28303-3928 Ph: (910) 488-7517 |
| NPI Number | 1376732370 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 09/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376732370 | NPI | - | NPPES |
| 8302180 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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