| Extended Families Of N. C., Llc | |
|
400 S Water St Suite 100 Elizabeth City NC 27909-4965 | |
| (252) 335-1478 | |
| (252) 335-2875 |
| Full Name | Extended Families Of N. C., Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 S Water St, Elizabeth City, North Carolina |
| Authorized Official Name and Position | Cassandra Clyde Houston (CEO/ OWNER) |
| Authorized Official Contact | 2523351478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Families Of N. C., Llc Po Box 2661 Elizabeth City NC 27906-2661 Ph: (252) 335-1478 | Extended Families Of N. C., Llc 400 S Water St Suite 100 Elizabeth City NC 27909-4965 Ph: (252) 335-1478 |
| NPI Number | 1093982282 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093982282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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