| Behavioral Healthcare & Memory Institute | |
|
215b W Broad St Statesville NC 28677-5259 | |
| (704) 878-8884 | |
| (704) 878-8883 |
| Full Name | Behavioral Healthcare & Memory Institute |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 215b W Broad St, Statesville, North Carolina |
| Authorized Official Name and Position | Prem K Muthu (DIRECTOR) |
| Authorized Official Contact | 7048788884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Healthcare & Memory Institute 215b W Broad St Statesville NC 28677-5259 Ph: (704) 878-8884 | Behavioral Healthcare & Memory Institute 215b W Broad St Statesville NC 28677-5259 Ph: (704) 878-8884 |
| NPI Number | 1013031327 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013031327 | NPI | - | NPPES |
| 890292J | Medicaid | NC | |
| 0292J | Other | NC | BLUE CROSS BLUE SHIELD GR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 82239 (North Carolina) | Primary |
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