| Building Blocks Center | |
|
1139a N Charlotte Ave Monroe NC 28110-2512 | |
| (980) 210-3151 | |
| (919) 276-8381 |
| Full Name | Building Blocks Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1139a N Charlotte Ave, Monroe, North Carolina |
| Authorized Official Name and Position | Wallace Lamone Alston (PRESIDENT / CEO) |
| Authorized Official Contact | 7042647793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Blocks Center 1139a N Charlotte Ave Monroe NC 28110-2512 Ph: (980) 210-3151 | Building Blocks Center 1139a N Charlotte Ave Monroe NC 28110-2512 Ph: (980) 210-3151 |
| NPI Number | 1477039584 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 11/03/2023 |
| Certification Date | 01/10/2023 |
| Medicare PECOS PAC ID | 4082033352 |
|---|---|
| Medicare Enrollment ID | O20201006002161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477039584 | NPI | - | NPPES |
| Provider Name | Robert L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447389853 PECOS PAC ID: 7810011780 Enrollment ID: I20100830000124 |
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