| Supreme Investments,llc | |
|
2407 Grace Ave Ste 4-5 New Bern NC 28562-4416 | |
| (252) 772-2304 | |
| (252) 523-1101 |
| Full Name | Supreme Investments,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2407 Grace Ave, New Bern, North Carolina |
| Authorized Official Name and Position | Nikisha Williams (MANAGER) |
| Authorized Official Contact | 2525231100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Investments,llc 2407 Grace Ave Suites 4-5 New Bern NC 28562-4416 Ph: (252) 772-2304 | Supreme Investments,llc 2407 Grace Ave Ste 4-5 New Bern NC 28562-4416 Ph: (252) 772-2304 |
| NPI Number | 1093089583 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 02/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093089583 | NPI | - | NPPES |
| 3418755 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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