Organization
THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC.
Active
Other names
Person GH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN COCHRAN (A/R MANAGER)
(919) 866-3287
Entity
Organization
Contact information
Practice address
219 N FOUSHEE ST, ROXBORO, NC 27573-5314
(336) 598-5988
Mailing address
1331 SUNDAY DR, RALEIGH, NC 27607-5166
(919) 981-0740
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-073-042
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804246
—
NC
Enumeration date
02/12/2008
Last updated
02/12/2008
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