| Moore Psr | |
|
110 E Boston Ave Pinebluff NC 28373-8033 | |
| (910) 281-5327 | |
| Not Available |
| Full Name | Moore Psr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 E Boston Ave, Pinebluff, North Carolina |
| Authorized Official Name and Position | Kevin Cochran (FINANCIAL ASSISTANT) |
| Authorized Official Contact | 9199810740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Psr 1331 Sunday Dr Raleigh NC 27607 Ph: (919) 981-0740 | Moore Psr 110 E Boston Ave Pinebluff NC 28373-8033 Ph: (910) 281-5327 |
| NPI Number | 1417080441 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417080441 | NPI | - | NPPES |
| 8300426S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-063-009 (North Carolina) | Primary |
Woodland House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E Boston Ave, Pinebluff, NC 28373 Phone: 336-495-2700 | |
Moore Psr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E Boston Ave, Pinebluff, NC 28373 Phone: 910-281-5327 |