Organization
ALLIED BEHAVIORAL HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI WILEY MA (OWNER AND CEO)
(910) 219-4100
Entity
Organization
Contact information
Practice address
2507 N MARINE BLVD, JACKSONVILLE, NC 28546-6211
(910) 219-4100
(910) 219-4104
Mailing address
2507 N MARINE BLVD, JACKSONVILLE, NC 28546-6211
(910) 219-4100
(910) 219-4104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3280
NC
101YM0800X
Mental Health Counselor
Primary
4793
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301355
—
NC
Enumeration date
01/29/2007
Last updated
06/16/2008
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