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Organization
UNIFIED BEHAVIORAL HEALTH, INC
Active
Organization
UNIFIED BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATISHA MOORE BS (CEO)
(252) 402-7298
Entity
Organization
Contact information
Practice address
139 W 3RD ST, WASHINGTON, NC 27889-4970
(252) 402-7298
(252) 940-7261
Mailing address
139 W 3RD ST, WASHINGTON, NC 27889-4970
(252) 402-7298
(252) 940-7261
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-007-062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604171
—
NC
05
—
8301781
—
NC
05
—
8700537
—
NC
Enumeration date
02/10/2010
Last updated
02/10/2010
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