Organization
ADVANCE BEHAV IORAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUDE BISHOP KNOBELOCH MAED (PRESIDENT)
(252) 526-7375
Entity
Organization
Contact information
Practice address
2906 HULL RD, KINSTON, NC 28504-8238
(252) 526-7375
(252) 520-6745
Mailing address
PO BOX 789, KINSTON, NC 28502-0789
(252) 526-7375
(252) 520-6745
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-054-098
NC
Other
Enumeration date
01/24/2007
Last updated
08/22/2012
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