|
| |
|
211 Chatham St Sanford NC 27330-4336 | |
| (919) 774-7746 | |
| (919) 775-2779 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 211 Chatham St, Sanford, North Carolina |
| Authorized Official Name and Position | Theodore Curtis Fiztgerald (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9108140394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 747 Lillington NC 27546-0747 Ph: (910) 814-0394 | 211 Chatham St Sanford NC 27330-4336 Ph: (919) 774-7746 |
| NPI Number | 1770585077 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770585077 | NPI | - | NPPES |
| 6005054 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 053-026 (North Carolina) | Primary |
North Carolina Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321a Court Square, Sanford, NC 27330 Phone: 919-356-3625 | |
Swanzetta J. Stevenson,lcsw,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 Court Sq, Sanford, NC 27330 Phone: 252-548-1510 | |
Time To Change, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Wicker St, Sanford, NC 27330 Phone: 919-777-9025 Fax: 919-777-9026 |