| Nc Family Empowerment Zone | |
|
2012 N Road St Suite 101 Elizabeth City NC 27909-9361 | |
| (757) 831-2921 | |
| Not Available |
| Full Name | Nc Family Empowerment Zone |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2012 N Road St, Elizabeth City, North Carolina |
| Authorized Official Name and Position | Timothy Eugen Gross (PRESIDENT) |
| Authorized Official Contact | 7578312921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nc Family Empowerment Zone Po Box 2717 Elizabeth City NC 27906-2717 Ph: (757) 831-2921 | Nc Family Empowerment Zone 2012 N Road St Suite 101 Elizabeth City NC 27909-9361 Ph: (757) 831-2921 |
| NPI Number | 1093970105 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093970105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 19778 (North Carolina) | Primary |
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