Organization Name: | CAROLINA MOUNTAIN PSYCHIATRIAC ASSOCIATES |
NPI Number: | 1114968773 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA KEMERER (CLINIC DIRECTOR) |
Mailing Address: | 281 Valley River Ave Murphy |
State: | NC US |
Postal Code: | 289062920 |
Phone Number: | 8288357372 |
Fax Number: | 8288358282 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 12/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | MHL 020 041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |