Healthcare Provider Details

I. General information

NPI: 1780810432
Provider Name (Legal Business Name): CLIENTFIRST OF NC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2009
Last Update Date: 03/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 WAYNE MEMORIAL DR SUITE H
GOLDSBORO NC
27534-2203
US

IV. Provider business mailing address

1503 WAYNE MEMORIAL DR SUITE H
GOLDSBORO NC
27534-2203
US

V. Phone/Fax

Practice location:
  • Phone: 919-330-4367
  • Fax: 919-330-4375
Mailing address:
  • Phone: 919-330-4367
  • Fax: 919-330-4375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD E. ('KIP') BROWN
Title or Position: CEO
Credential:
Phone: 919-330-4367