Organization
JOHNSTON COUNTY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANIS J NUTT PH. D. (AREA DIRECTOR)
(919) 989-5500
Entity
Organization
Contact information
Practice address
521 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 989-5500
(919) 989-5532
Mailing address
PO BOX 411, SMITHFIELD, NC 27577-0411
(919) 989-5500
(919) 989-5532
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07116
BCBS-NC
NC
05
—
3404930
—
NC
05
—
5901802
—
NC
05
—
6005572
—
NC
05
—
8301360
—
NC
05
—
8301360B
—
NC
Enumeration date
03/28/2007
Last updated
01/28/2008
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