Full Name | |
---|---|
Speciality | Psychiatric Residential Treatment Facility |
Location | 3200 Waterfield Dr, Garner, North Carolina |
Authorized Official Name and Position | James Cagle (CFO) |
Authorized Official Contact | 9019693114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3200 Waterfield Dr Garner NC 27529-7727 Ph: (919) 573-4999 | 3200 Waterfield Dr Garner NC 27529 Ph: (919) 573-4999 |
NPI Number | 1487900296 |
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Provider Enumeration Date | 07/30/2012 |
Last Update Date | 05/20/2021 |
Certification Date | 05/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487900296 | NPI | - | NPPES |
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