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Organization
UNIVERSAL MHDDSAS
Active
Organization
UNIVERSAL MHDDSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOK PHILLIPS (DIRECTOR OF OPERATIONS)
(828) 759-4064
Entity
Organization
Contact information
Practice address
3820 BRIDGES STREET, SUITE 8, MOREHEAD CITY, NC 28557-2918
(252) 727-1669
(252) 727-4977
Mailing address
839 WILKESBORO BLVD NE, LENOIR, NC 28645-4612
(828) 759-2228
(828) 759-0159
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301967
—
NC
05
—
8301967B
—
NC
05
—
8301967G
—
NC
Enumeration date
02/13/2007
Last updated
07/19/2007
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