| Allied Behavioral Healthcare, Inc. | |
|
2507 N Marine Blvd Jacksonville NC 28546-6211 | |
| (910) 219-4100 | |
| (910) 219-4104 |
| Full Name | Allied Behavioral Healthcare, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2507 N Marine Blvd, Jacksonville, North Carolina |
| Authorized Official Name and Position | Jodi Wiley (OWNER AND CEO) |
| Authorized Official Contact | 9102194100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Behavioral Healthcare, Inc. 2507 N Marine Blvd Jacksonville NC 28546-6211 Ph: (910) 219-4100 | Allied Behavioral Healthcare, Inc. 2507 N Marine Blvd Jacksonville NC 28546-6211 Ph: (910) 219-4100 |
| NPI Number | 1609912567 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609912567 | NPI | - | NPPES |
| 8301355 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4793 (North Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | 3280 (North Carolina) | Secondary |
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