Organization
DIMENSIONS HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA P. ROBERTS M.S.W. (DIRECTOR/MANAGER)
(252) 637-1226
Entity
Organization
Contact information
Practice address
1421C S GLENBURNIE RD, NEW BERN, NC 28562-2603
(252) 637-1226
(252) 637-7422
Mailing address
1421C S GLENBURNIE RD, NEW BERN, NC 28562-2603
(252) 637-1226
(252) 637-7422
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3409413
NC CAP MEDICAID
NC
Enumeration date
06/04/2006
Last updated
08/22/2020
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