Organization
THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC.
Active
Other names
Western Avenue Facility - Rocky Mount
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN COCHRAN (FINANCIAL ASSISTANT)
(919) 866-3287
Entity
Organization
Contact information
Practice address
511 WESTERN AVE, ROCKY MOUNT, NC 27804-5626
(252) 446-6555
Mailing address
1331 SUNDAY DR, RALEIGH, NC 27607-5166
(919) 866-3287
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-064-005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805253
—
NC
Enumeration date
04/10/2007
Last updated
08/22/2020
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