| Lillies Place 2 | |
|
121 Hazel Dr Burlington NC 27217-8311 | |
| (336) 350-4866 | |
| Not Available |
| Full Name | Lillies Place 2 |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 121 Hazel Dr, Burlington, North Carolina |
| Authorized Official Name and Position | Cherry D Crisp (OWNER) |
| Authorized Official Contact | 3363504866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lillies Place 2 121 Hazel Dr Burlington NC 27217-8311 Ph: () - | Lillies Place 2 121 Hazel Dr Burlington NC 27217-8311 Ph: (336) 350-4866 |
| NPI Number | 1851831937 |
|---|---|
| Provider Enumeration Date | 03/08/2017 |
| Last Update Date | 03/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851831937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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