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Organization

PHASE 2 BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERRIE SIMPSON (PARTNER)
(910) 899-3354
Entity
Organization

Contact information

Practice address
3592 KNIGHT ARNOLD RD STE 204, MEMPHIS, TN 38118-2709
(910) 899-3354
Mailing address
233 WESTCHESTER RD, WILMINGTON, NC 28409-8509
(910) 550-8676
(404) 393-8560

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
08/14/2017
Last updated
07/21/2022
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