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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