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Organization

CARTER BEHAVIOR HEALTH SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRY LAMONT SPELLER (PROGRAM DIRECTOR, P-LCAS)
(252) 347-3950
Entity
Organization

Contact information

Practice address
501A GREENVILLE BLVD SE, GREENVILLE, NC 27858-6736
(252) 353-5577
(252) 353-8577
Mailing address
308 GREENVILLE BLVD SE STE A, GREENVILLE, NC 27858-5758
(252) 353-5577
(252) 353-8577

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2084P0804X
Child & Adolescent Psychiatry Physician
251E00000X
Home Health Agency
Primary
HC4036
NC
251S00000X
Community/Behavioral Health Agency
3747P1801X
Personal Care Attendant
HC4036
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3418973
NC
05
5909095
NC
05
6006375
NC
05
6601979
NC
05
8302032
NC
Enumeration date
06/15/2007
Last updated
09/27/2011
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