Organization Name: | NEW RIVER MENTAL HEALTH CENTER |
NPI Number: | 1518031723 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD L. SUGGS (CEO) |
Mailing Address: | 636 Cranberry St Newland |
State: | NC US |
Postal Code: | 286578801 |
Phone Number: | 8287339236 |
Fax Number: | 8282625687 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | MHL006003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |