| Jacksonville Mobile Crisis Mgt | |
|
824 Gum Branch Rd Jacksonville NC 28540-6272 | |
| (910) 347-9990 | |
| (910) 347-1116 |
| Full Name | Jacksonville Mobile Crisis Mgt |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 824 Gum Branch Rd, Jacksonville, North Carolina |
| Authorized Official Name and Position | Karen Lyn Orsini (VICE PRESIDENT - FINANCIAL SERVICES) |
| Authorized Official Contact | 4043642900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacksonville Mobile Crisis Mgt 3060 Peachtree Rd Nw Suite 900 Atlanta GA 30305-2234 Ph: (404) 364-2900 | Jacksonville Mobile Crisis Mgt 824 Gum Branch Rd Jacksonville NC 28540-6272 Ph: (910) 347-9990 |
| NPI Number | 1467692814 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467692814 | NPI | - | NPPES |
| 8300681 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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