| Crandell's Enterprises Inc | |
|
7112 Outrigger Dr Wendell NC 27591-7240 | |
| (919) 626-0079 | |
| Not Available |
| Full Name | Crandell's Enterprises Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7112 Outrigger Dr, Wendell, North Carolina |
| Authorized Official Name and Position | Sandra Mayo (COO/CFO) |
| Authorized Official Contact | 9197907663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crandell's Enterprises Inc 5312 Six Forks Rd Suite 301 Raleigh NC 27609-4458 Ph: () - | Crandell's Enterprises Inc 7112 Outrigger Dr Wendell NC 27591-7240 Ph: (919) 626-0079 |
| NPI Number | 1255752085 |
|---|---|
| Provider Enumeration Date | 12/20/2013 |
| Last Update Date | 03/08/2021 |
| Certification Date | 03/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255752085 | NPI | - | NPPES |
| 7804626 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MHL 092-882 (North Carolina) | Primary |
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