| Jacksonville Behavior And Mental Health | |
|
156 Memorial Ct Jacksonville NC 28546-6322 | |
| (910) 353-0680 | |
| (910) 353-3629 |
| Full Name | Jacksonville Behavior And Mental Health |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 156 Memorial Ct, Jacksonville, North Carolina |
| Authorized Official Name and Position | Madhur Mittal (PRESIDENT) |
| Authorized Official Contact | 9103530581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacksonville Behavior And Mental Health 118 Memorial Dr Jacksonville NC 28546-6328 Ph: (910) 353-0581 | Jacksonville Behavior And Mental Health 156 Memorial Ct Jacksonville NC 28546-6322 Ph: (910) 353-0680 |
| NPI Number | 1770771750 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 07/08/2020 |
| Certification Date | 07/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770771750 | NPI | - | NPPES |
| 8901904 | Medicaid | NC |
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