| University Of North Carolina At Chapel Hill | |
|
319 N Graham Hopedale Rd Human Services Center - Suite B Burlington NC 27217-2990 | |
| (336) 229-3839 | |
| (336) 513-4203 |
| Full Name | University Of North Carolina At Chapel Hill |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 319 N Graham Hopedale Rd, Burlington, North Carolina |
| Authorized Official Name and Position | Constance Renz (DIRECTOR) |
| Authorized Official Contact | 9199669803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of North Carolina At Chapel Hill 400 Roberson St Carrboro NC 27510-2367 Ph: (919) 966-9803 | University Of North Carolina At Chapel Hill 319 N Graham Hopedale Rd Human Services Center - Suite B Burlington NC 27217-2990 Ph: (336) 229-3839 |
| NPI Number | 1659556793 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 09/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659556793 | NPI | - | NPPES |
| 001 | Other | NC | IOP MEDICAID # NOT REC'D |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-068-107 (North Carolina) | Primary |
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