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ALBEMARLE MENTAL HEALTH CENTER

Clinical Neuropsychologist

Elizabeth City, North Carolina

Provider NPI: 1538213343

Organization Information:
Organization Name:  ALBEMARLE MENTAL HEALTH CENTER
Organization is not Subpart
Authorized Official:  CHARLES  FRANKLIN  AREA DIRECTOR  252-3351113

Practice Location:
305 E MAIN STREET  ELIZABETH CITY, NC 27909 US
Tel: 252-335-0803  Fax: --

Business Mailing Address:
305 E MAIN STREET  ELIZABETH CITY, NC 27909 US
Tel: --  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist

Other Provider Identifiers:

IssuerNumberStateType
5901709NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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