| Organization Name: | EAST CAROLINA HEALTH |
| NPI Number: | 1164400636 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JON GRAHAM (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 113b Hertford County High Rd Ahoskie |
| State: | NC US |
| Postal Code: | 279108131 |
| Phone Number: | 2522098161 |
| Fax Number: | 2522096011 |
| NPI Enumeration Date: | 01/05/2006 |
| NPI Last Update Date: | 08/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |