| Palmer Prevention, Inc. | |
|
208 N. Main St. Pembroke NC 28372-3959 | |
| (910) 522-0421 | |
| (910) 522-1169 |
| Full Name | Palmer Prevention, Inc. |
|---|---|
| Speciality | Case Management |
| Location | 208 N. Main St., Pembroke, North Carolina |
| Authorized Official Name and Position | Thomas Graham Norton (EX. DIRECTOR) |
| Authorized Official Contact | 9105220421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmer Prevention, Inc. Po Box 3959 Pembroke NC 28372-3959 Ph: (910) 522-0421 | Palmer Prevention, Inc. 208 N. Main St. Pembroke NC 28372-3959 Ph: (910) 522-0421 |
| NPI Number | 1780883959 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 12/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780883959 | NPI | - | NPPES |
| 6005554 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-078-194 (North Carolina) | Secondary |
| 251B00000X | Case Management | MHL-078-194 (North Carolina) | Primary |
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