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Organization

BENJAMIN HOUSE, INC.

Active
Other names
Benjamin House Community Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID E. GILBERT (CHIEF EXECUTIVE OFFICER)
(252) 338-0333
Entity
Organization

Contact information

Practice address
1221 CAROLINA AVE, SUITE 3, ELIZABETH CITY, NC 27909-5407
(252) 331-7731
(252) 331-1777
Mailing address
1221 CAROLINA AVE, SUITE 3, ELIZABETH CITY, NC 27909-5407
(252) 331-7731
(252) 331-1777

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8300836B
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8300836B
NC
Enumeration date
12/18/2006
Last updated
08/22/2020
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