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Organization
ADVANCE BEHAV IORAL HEALTH SERVICES INC.
Active
Organization
ADVANCE BEHAV IORAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUDE BISHOP KNOBELOCH MAED (PRESIDENT)
(252) 526-7375
Entity
Organization
Contact information
Practice address
2906 HULL RD, KINSTON, NC 28504-8238
(252) 526-7375
(252) 520-6745
Mailing address
PO BOX 789, KINSTON, NC 28502-0789
(252) 526-7375
(252) 520-6745
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-054-098
NC
Other
Enumeration date
01/24/2007
Last updated
08/22/2012
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