| Eastern North Carolina Behavioral Health | |
|
2313 B Executive Park Greenville NC 27334-0886 | |
| (252) 439-2275 | |
| (252) 439-2353 |
| Full Name | Eastern North Carolina Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2313 B Executive Park, Greenville, North Carolina |
| Authorized Official Name and Position | Geraldine Monk Jones (PRESIDENT) |
| Authorized Official Contact | 2524392275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern North Carolina Behavioral Health 2313 B Executive Park Greenville NC 27834 Ph: (252) 439-2275 | Eastern North Carolina Behavioral Health 2313 B Executive Park Greenville NC 27334-0886 Ph: (252) 439-2275 |
| NPI Number | 1083778237 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083778237 | NPI | - | NPPES |
| 8301013 | Medicaid | NC | |
| 8301135 | Medicaid | NC | |
| 6603135 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-074-109 (North Carolina) | Primary |
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