# BURLINGTON PSYCHIATRY & ASSOC

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

## Provider details

- **NPI number:** 1598053399
- **Authorized official:** DR. KENNETH J HEADEN MD (PSYCHIATRY)
- **Authorized official phone:** (336) 584-5255

## Contact information

- **Practice address:** 1710 WESTBROOK AVE, BURLINGTON, NC 27215-8721
- **Practice address phone:** (336) 584-5255
- **Practice address fax:** (336) 584-5235
- **Mailing address:** 1710 WESTBROOK AVE, BURLINGTON, NC 27215-8721
- **Mailing address phone:** (336) 584-5255
- **Mailing address fax:** (336) 584-5235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 9400266 | NC | Yes |

## Other

- **Enumeration date:** 07/13/2011
- **Last updated:** 07/13/2011