| Therapeutic Behavioral Healthcare Services | |
|
302 N Main St Fairmont NC 28340-1730 | |
| (910) 628-5655 | |
| (910) 628-7755 |
| Full Name | Therapeutic Behavioral Healthcare Services |
|---|---|
| Speciality | Home Health |
| Location | 302 N Main St, Fairmont, North Carolina |
| Authorized Official Name and Position | Wille E. Spruill (CEO) |
| Authorized Official Contact | 9106287755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Behavioral Healthcare Services Po Box 1664 Fairmont NC 28340-1103 Ph: (910) 628-5655 | Therapeutic Behavioral Healthcare Services 302 N Main St Fairmont NC 28340-1730 Ph: (910) 628-5655 |
| NPI Number | 1891026886 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 07/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891026886 | NPI | - | NPPES |
| 3418946 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | HC4408 (North Carolina) | Primary |
Therapeutic Behavioral Healthcare Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N Main St, Fairmont, NC 28340 Phone: 910-628-5655 | |
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