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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

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

NPI # 1770607384
LBN Legal business name VIRGINIA DARE BEHAVORIAL HEALTH SERVICES INC.
Authorized official PHYLLIS WARD - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC License # MHL040016
NC Medicaid 3409231
NC Medicaid 7805104
NC Medicaid 8301320
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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