| Samual C. Evans Jr Group Home | |
|
53 Estep Street Sparta NC 28675 | |
| (336) 372-5671 | |
| (336) 372-5672 |
| Full Name | Samual C. Evans Jr Group Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 53 Estep Street, Sparta, North Carolina |
| Authorized Official Name and Position | Darlene Douglas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3363725671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samual C. Evans Jr Group Home 53 Estep Street Sparta NC 28675 Ph: (336) 372-5671 | Samual C. Evans Jr Group Home 53 Estep Street Sparta NC 28675 Ph: (336) 372-5671 |
| NPI Number | 1437167798 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437167798 | NPI | - | NPPES |
| 7801839 | Medicaid | NC |
Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28675 Phone: 336-372-4095 | |
Lawson Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Willis St, Sparta, NC 28675 Phone: 336-372-6083 Fax: 336-372-6087 | |
New River Service Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28675 Phone: 336-372-4095 Fax: 828-262-5687 | |
Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28640 Phone: 336-372-4095 | |
Lawson Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 393 N Main St, Sparta, NC 28675 Phone: 336-372-6083 | |
Itherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Atwood St, Sparta, NC 28675 Phone: 828-964-8790 |