Organization
ALLIED BEHAVIORAL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI LEE WILEY (OWNER)
(910) 219-4100
Entity
Organization
Contact information
Practice address
2507 N MARINE BLVD, JACKSONVILLE, NC 28546-6211
(910) 219-4100
Mailing address
2507 N MARINE BLVD, JACKSONVILLE, NC 28546-6211
(910) 219-4100
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301355
—
NC
05
—
8301355B
—
NC
Enumeration date
03/02/2007
Last updated
09/29/2008
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