| Tpc,trc | |
|
511 S Main St Rolesville NC 27571-9666 | |
| (919) 569-0512 | |
| (919) 569-0511 |
| Full Name | Tpc,trc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 511 S Main St, Rolesville, North Carolina |
| Authorized Official Name and Position | Mary Wanjiku Njaramba (OWNER AND CEO) |
| Authorized Official Contact | 9195690512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tpc,trc Po Box 550 Rolesville NC 27571-0550 Ph: (919) 569-0512 | Tpc,trc 511 S Main St Rolesville NC 27571-9666 Ph: (919) 569-0512 |
| NPI Number | 1407004682 |
|---|---|
| Provider Enumeration Date | 08/30/2008 |
| Last Update Date | 11/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407004682 | NPI | - | NPPES |
| 6103680 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
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