| Piedmont Behavioral Resources, Inc. | |
|
201 W. Marion St. Ste. 207 Shelby NC 28150 | |
| (704) 487-6226 | |
| (704) 487-6286 |
| Full Name | Piedmont Behavioral Resources, Inc. |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 201 W. Marion St. Ste. 207, Shelby, North Carolina |
| Authorized Official Name and Position | Tanzy Barrow Wallace (CEO) |
| Authorized Official Contact | 7044876226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Behavioral Resources, Inc. 201 W. Marion St. Ste. 207 Shelby NC 28150 Ph: (704) 487-6226 | Piedmont Behavioral Resources, Inc. 201 W. Marion St. Ste. 207 Shelby NC 28150 Ph: (704) 487-6226 |
| NPI Number | 1366699449 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 03/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366699449 | NPI | - | NPPES |
| 3418626 | Medicaid | NC | |
| 6604374 | Medicaid | NC | |
| 6604390 | Medicaid | NC | |
| 6006639 | Medicaid | NC | |
| 6603420 | Medicaid | NC | |
| 8302555Q | Medicaid | NC | |
| 8302555 | Medicaid | NC |
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