| Powell | |
|
2250 Baltic St Gastonia NC 28054-2712 | |
| (704) 867-0012 | |
| (704) 864-8936 |
| Full Name | Powell |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2250 Baltic St, Gastonia, North Carolina |
| Authorized Official Name and Position | Marilyn Garner (CEO AND PRESIDENT) |
| Authorized Official Contact | 7046597630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell 5350 77 Center Dr Ste 201 Charlotte NC 28217-2783 Ph: (704) 875-1328 | Powell 2250 Baltic St Gastonia NC 28054-2712 Ph: (704) 867-0012 |
| NPI Number | 1417135120 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 09/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417135120 | NPI | - | NPPES |
| 7802744 | Medicaid | NC |
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