| Rebel Goat Farm,inc | |
|
250 Millionaire Rd Saint Pauls NC 28384-8251 | |
| (910) 241-3273 | |
| Not Available |
| Full Name | Rebel Goat Farm,inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 250 Millionaire Rd, Saint Pauls, North Carolina |
| Authorized Official Name and Position | Jennifer Mary Wahlman (DIRECTOR AND CO-FOUNDER) |
| Authorized Official Contact | 9102413273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebel Goat Farm,inc 250 Millionaire Rd Saint Pauls NC 28384-8251 Ph: (910) 241-3273 | Rebel Goat Farm,inc 250 Millionaire Rd Saint Pauls NC 28384-8251 Ph: (910) 241-3273 |
| NPI Number | 1649876566 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649876566 | NPI | - | NPPES |
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