| Transformation | |
|
713 5th Ave W Hendersonville NC 28739-4101 | |
| (828) 559-3012 | |
| Not Available |
| Full Name | Transformation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 713 5th Ave W, Hendersonville, North Carolina |
| Authorized Official Name and Position | Signal White (DIRECTOR) |
| Authorized Official Contact | 3364171252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation 713 5th Ave W Hendersonville NC 28739-4101 Ph: () - | Transformation 713 5th Ave W Hendersonville NC 28739-4101 Ph: (828) 559-3012 |
| NPI Number | 1629459508 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 09/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629459508 | NPI | - | NPPES |
| MHL045118 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL001241 (North Carolina) | Primary |
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