Organization
CIHA JUVENILE SERVICES
Active
Parent organization
CHEROKEE INDIAN HOSPITAL AUTHORITY
Other names
CIHA Juvenile Justice
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHEROKEE INDIAN HOSPITAL AUTHORITY
Authorized official
CASEY COOPER CEO (CEO)
(828) 497-9163
Entity
Organization
Contact information
Practice address
85 CHILDRENS HOME LOOP, CHEROKEE, NC 28719
(828) 359-6690
(828) 359-0014
Mailing address
1 HOSPITAL RD CALLER BOX C-268, CHEROKEE, NC 28719
(828) 497-9163
(828) 497-1723
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0767C
BCRS
NC
01
—
0767C
BCBSNC
—
05
—
3400156
—
NC
Enumeration date
12/19/2014
Last updated
12/14/2015
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