Organization
CHRONIC CARE MANAGEMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GEARTZ (BILLING MANAGER / HUMAN RESOURCES)
(336) 438-0212
Entity
Organization
Contact information
Practice address
1115 S CHURCH ST, BURLINGTON, NC 27215-5047
(336) 438-0212
(919) 471-5475
Mailing address
1115 S CHURCH ST, BURLINGTON, NC 27215-5047
(336) 438-0212
(919) 471-5475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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