| Northside Behavioral Health Services | |
|
111 Hertford County High Rd Ahoskie NC 27910-8131 | |
| (252) 209-3170 | |
| Not Available |
| Full Name | Northside Behavioral Health Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 111 Hertford County High Rd, Ahoskie, North Carolina |
| Authorized Official Name and Position | Jon Graham (CFO) |
| Authorized Official Contact | 2522093610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Behavioral Health Services Po Box 1385 Ahoskie NC 27910-1385 Ph: (252) 209-3170 | Northside Behavioral Health Services 111 Hertford County High Rd Ahoskie NC 27910-8131 Ph: (252) 209-3170 |
| NPI Number | 1942344841 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942344841 | NPI | - | NPPES |
| 0256L | Other | NC | BCBS PSYCH PROF. # |
| 8902806 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | H0001 (North Carolina) | Primary |
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