| Obsidian Care Collective Pllc | |
|
100 N Churton St Ste 206 Hillsborough NC 27278-2534 | |
| (410) 292-2847 | |
| Not Available |
| Full Name | Obsidian Care Collective Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 100 N Churton St Ste 206, Hillsborough, North Carolina |
| Authorized Official Name and Position | Jacqueline Newton (OWNER) |
| Authorized Official Contact | 8282738422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obsidian Care Collective Pllc 100 N Churton St Ste 206 Hillsborough NC 27278-2534 Ph: () - | Obsidian Care Collective Pllc 100 N Churton St Ste 206 Hillsborough NC 27278-2534 Ph: (410) 292-2847 |
| NPI Number | 1336804095 |
|---|---|
| Provider Enumeration Date | 11/07/2021 |
| Last Update Date | 11/13/2021 |
| Certification Date | 11/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336804095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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