| Organization Name: | EDGECOMBE NASH MENTAL HEALTH |
| NPI Number: | 1316045818 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY RACKLEY (FINANCE OFFICER) |
| Mailing Address: | 3007 N Main St Tarboro |
| State: | NC US |
| Postal Code: | 278861922 |
| Phone Number: | 2529378141 |
| Fax Number: | 2524439574 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |