| University Of North Carolina Hospitals At Chapel Hill | |
|
107 Sunnybrook Rd Suite A Raleigh NC 27610-1827 | |
| (984) 974-4870 | |
| (984) 974-4918 |
| Full Name | University Of North Carolina Hospitals At Chapel Hill |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 107 Sunnybrook Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Janet Teresa Hadar (PRESIDENT, UNC HOSPITALS) |
| Authorized Official Contact | 9849742819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of North Carolina Hospitals At Chapel Hill 107 Sunnybrook Rd Suite A Raleigh NC 27610-1827 Ph: (984) 974-4870 | University Of North Carolina Hospitals At Chapel Hill 107 Sunnybrook Rd Suite A Raleigh NC 27610-1827 Ph: (984) 974-4870 |
| NPI Number | 1205176187 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 02/10/2020 |
| Certification Date | 02/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205176187 | NPI | - | NPPES |
| 8303596M | Other | NC | ATTENDING PROVIDER NUMBER |
| 8303596C | Other | NC | ATTENDING PROVIDER NUMBER |
| 8303596 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-092-870 (North Carolina) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | MHL-092-870 (North Carolina) | Primary |
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