Organization
PARTNERS HEALTH NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIP CALLAHAN (CONSULTANT)
(828) 773-0217
Entity
Organization
Contact information
Practice address
4301 MASONBORO LOOP RD, WILMINGTON, NC 28409-3563
(828) 773-0217
Mailing address
PO BOX 15581, WILMINGTON, NC 28408-5581
(828) 773-0217
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7221
NC
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
1041C0700X
Clinical Social Worker
C005078
NC
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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