Organization
CHERRY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J MICHAEL HENNIKE (SECTION CHIEF OF DMH DD SAS STATE O)
(919) 855-4700
Entity
Organization
Contact information
Practice address
201 STEVENS MILL ROAD, GOLDSBORO, NC 27530-1056
(919) 731-3204
(919) 731-3785
Mailing address
201 STEVENS MILL ROAD, GOLDSBORO, NC 27530-1056
(919) 731-3204
(919) 731-3785
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404003
—
NC
Enumeration date
03/02/2007
Last updated
08/22/2020
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