| Organization Name: | NEW RIVER MENTAL HEALTH CENTER |
| NPI Number: | 1134185663 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD L SUGGS (AREA DIRECTOR) |
| Mailing Address: | 1430 Willow Ln West Park C61-2 North Wilkesboro |
| State: | NC US |
| Postal Code: | 286593551 |
| Phone Number: | 3366675151 |
| Fax Number: | 8282625687 |
| NPI Enumeration Date: | 04/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | MHL-097-009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |