Organization Name: | HAYMOUNT INSTITUTE FOR PSYCHOLOGICAL SERVICES P |
NPI Number: | 1063664381 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALIDA S MASON (OWNER) |
Mailing Address: | 103 Bradford Village Ct Southern Pines |
State: | NC US |
Postal Code: | 283875451 |
Phone Number: | 9108607008 |
Fax Number: | 9102219006 |
NPI Enumeration Date: | 10/17/2008 |
NPI Last Update Date: | 09/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |