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Extension Training Of Nc, Llc
Adult Mental Health Clinic/Center in Pineville, North Carolina
NPI 1184143489

Extension Training Of Nc, Llc is an Adult Mental Health Clinic/Center based in Raleigh, NC and is specialized in Adult Mental Health. Extension Training Of Nc, Llc practices in Pineville, NC. The NPI Number for Extension Training Of Nc, Llc is 1184143489 and holds a License No. 254418 (North Carolina).

The current practice location address for Extension Training Of Nc, Llc is 700 Morrow Ave, Pineville, NC and can be reached out via phone at 919-592-3608 and via fax at 919-835-9613.

Location: 700 Morrow Ave, Pineville, NC, 27610-6499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184143489
Provider Name
Extension Training Of Nc, Llc
Credential
Provider Entity Type
Organization
Address
700 Morrow Ave, Pineville, NC, 27610-6499
Phone Number
919-592-3608
Fax Number
919-835-9613
Provider Enumeration Date
09/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5007400 01 NC NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
700 Morrow Ave
City
Pineville
State
North Carolina
Zip
28134-6528
Phone Number
919-592-3608
Fax Number
919-835-9613
person
Provider Business Mailing Address Details
Address
700 Morrow Ave
City
Pineville
State
North Carolina
Zip
28134-6528
Phone Number
919-592-3608
Fax Number
919-835-9613
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
254418 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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