| Dixon Social Interactive Services, Inc. | |
|
313 Clifton St. Greenville NC 27858-8504 | |
| (252) 353-0100 | |
| (252) 364-8117 |
| Full Name | Dixon Social Interactive Services, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 313 Clifton St., Greenville, North Carolina |
| Authorized Official Name and Position | Derria Dixon (CFO) |
| Authorized Official Contact | 2522588946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dixon Social Interactive Services, Inc. Po Box 30166 Greenville NC 27833-0166 Ph: (252) 353-0100 | Dixon Social Interactive Services, Inc. 313 Clifton St. Greenville NC 27858-8504 Ph: (252) 353-0100 |
| NPI Number | 1841411071 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 12/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841411071 | NPI | - | NPPES |
| 6005438 | Medicaid | NC |
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