Organization
ADVANTAGE BEHAVIORAL HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY WALSTER GRAHAM PH.D., CBIS (COO)
(910) 640-1038
Entity
Organization
Contact information
Practice address
732 DAVIS AVE, WHITEVILLE, NC 28472-6002
(910) 640-1038
(910) 640-1465
Mailing address
732 DAVIS AVE, WHITEVILLE, NC 28472-6002
(910) 640-1038
(910) 640-1465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418242
—
NC
05
—
3418282
—
NC
05
—
5906566
—
NC
05
—
5968204
—
NC
05
—
6005978
—
NC
05
—
8301619
—
NC
05
—
8301619B
—
NC
05
—
8301619H
—
NC
05
—
8302158
—
NC
05
—
8302158B
—
NC
05
—
8302158G
—
NC
05
—
8302158H
—
NC
05
—
8302629G
—
NC
05
—
8303167
—
NC
05
—
8303167R
—
NC
05
—
8303168
—
NC
05
—
8303168R
—
NC
05
—
8702269
—
NC
Enumeration date
01/04/2011
Last updated
01/25/2011
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