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Organization
ONSLOW CARTERET BEHAVIORAL HEALTHCARE SERVICES
Active
Organization
ONSLOW CARTERET BEHAVIORAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL M. JONES (AREA DIRECTOR)
(910) 219-8000
Entity
Organization
Contact information
Practice address
215 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(910) 353-5118
(910) 353-4765
Mailing address
165 CENTER ST, JACKSONVILLE, NC 28546-5708
(910) 219-8000
(910) 353-4765
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-067-002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404934
—
NC
01
—
43021
STATE ID
NC
01
—
5901887
PHYSICIAN GROUP
NC
01
—
6005558
INDEP MH PRACTITIONER GRP
NC
05
—
8301604
—
NC
Enumeration date
12/06/2006
Last updated
08/22/2020
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