| Crystal River Psychiatric, Grp | |
|
2595 S 17th St Wilmington NC 28401-7748 | |
| (910) 799-2283 | |
| (910) 791-9227 |
| Full Name | Crystal River Psychiatric, Grp |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2595 S 17th St, Wilmington, North Carolina |
| Authorized Official Name and Position | Robert Harvey Weinstein (OWNER) |
| Authorized Official Contact | 9107992283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal River Psychiatric, Grp 2595 S 17th St Wilmington NC 28401-7748 Ph: (910) 799-2283 | Crystal River Psychiatric, Grp 2595 S 17th St Wilmington NC 28401-7748 Ph: (910) 799-2283 |
| NPI Number | 1003946047 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003946047 | NPI | - | NPPES |
| 8986321 | Other | NC | WEINSTEINS MEDICAID |
| 014J9 | Other | NC | BCBS NC GROUP # |
| 6107129 | Other | NC | F.RHETT SARAVIA MEDICAID |
| 86321 | Other | NC | WEINSTEINS BCBS NC |
| 201516C | Other | NC | WEINSTEINS MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 104694 (North Carolina) | Primary |
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