| Free Will Baptist Childrens Home, Inc. | |
|
7907 Buck Deans Road Middlesex NC 27557 | |
| (252) 235-2161 | |
| (252) 235-2625 |
| Full Name | Free Will Baptist Childrens Home, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7907 Buck Deans Road, Middlesex, North Carolina |
| Authorized Official Name and Position | Gary W Lee (PRESIDENT/CEO) |
| Authorized Official Contact | 2522352161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free Will Baptist Childrens Home, Inc. Po Box 249 Middlesex NC 27557-0249 Ph: (252) 235-2161 | Free Will Baptist Childrens Home, Inc. 7907 Buck Deans Road Middlesex NC 27557 Ph: (252) 235-2161 |
| NPI Number | 1669529178 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 02/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669529178 | NPI | - | NPPES |
| 6005069 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | B00358 (North Carolina) | Primary |
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