Organization
ALAMANCE CASWELL AREA MH DD SA AREA AUTHORITY
Active
Other names
ALAMANCE CASWELL AREA MH DD SA SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAYRON BRYAN MCCAIN (REIMBURSEMENT OFFICER)
(336) 513-4200
Entity
Organization
Contact information
Practice address
319 N GRAHAM HOPEDALE RD, SUITE A, BURLINGTON, NC 27217-2992
(336) 513-4200
(336) 513-4379
Mailing address
319 N GRAHAM HOPEDALE RD, SUITE A, BURLINGTON, NC 27217-2992
(336) 513-4200
(336) 513-4379
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MHL001056
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07053
BLUE CROSS BLUE SHIELD NC
NC
05
—
3404920
—
NC
05
—
5901663
—
NC
05
—
6005767
—
NC
Enumeration date
04/09/2007
Last updated
02/19/2008
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