National Provider Identifier Database

VIRGINIA DARE BEHAVORIAL HEALTH SERVICES INC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

VIRGINIA DARE BEHAVORIAL HEALTH SERVICES INC.
367 LANE ROAD
STANTONSBURG, NC27883
Phone: 252-238-2622
Fax: 252-238-6566
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for VIRGINIA DARE BEHAVORIAL HEALTH SERVICES INC.

NPI Number 1770607384
Legal business name
LBN
VIRGINIA DARE BEHAVORIAL HEALTH SERVICES INC.
Authorized official PHYLLIS WARD - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 03/19/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: MHL040016
  • NC Medicaid: 3409231
  • NC Medicaid: 7805104
  • NC Medicaid: 8301320

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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