| Cypress House | |
|
88 E. Green Street Clarkton NC 28433 | |
| (910) 647-0064 | |
| Not Available |
| Full Name | Cypress House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 88 E. Green Street, Clarkton, North Carolina |
| Authorized Official Name and Position | Lavern S. Oxendine (DIRECTOR) |
| Authorized Official Contact | 9107396624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cypress House Po Box 963 Lumberton NC 28359-0963 | Cypress House 88 E. Green Street Clarkton NC 28433 Ph: (910) 647-0064 |
| NPI Number | 1265595813 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 02/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265595813 | NPI | - | NPPES |
| 8301409S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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