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Organization
NEUSE CENTER MHDDSAS
Active
Organization
NEUSE CENTER MHDDSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM ELLIS (INFORMATION LIAISON)
(252) 639-7720
Entity
Organization
Contact information
Practice address
405 MIDDLE ST, NEW BERN, NC 28560-4930
(252) 636-1510
Mailing address
PO BOX 1636, NEW BERN, NC 28563-1636
(252) 636-1510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404939
—
NC
Enumeration date
01/05/2007
Last updated
09/11/2025
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