# ADVANCE BEHAVIORAL HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215068580
- **Authorized official:** MS. MAUDE KNOBELOCH (PRESIDENT)
- **Authorized official phone:** (252) 526-7375

## Contact information

- **Practice address:** 2906 HULL RD, KINSTON, NC 28504-8238
- **Practice address phone:** (252) 526-7375
- **Mailing address:** PO BOX 789, KINSTON, NC 28502-0789
- **Mailing address phone:** (252) 526-7375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-054-109 | NC | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 08/22/2020