Organization
SACRED HEALTH INCORPORATED
Active
Other names
Sacred Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BERNARD GAUSE (CEO)
(704) 604-2090
Entity
Organization
Contact information
Practice address
3416 VIRGINIA AVE STE 3, COLLINSVILLE, VA 24078-2240
(276) 403-0258
Mailing address
1071 MATCHSTICK PL SW, CONCORD, NC 28025-4706
(704) 604-2090
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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