TRI COUNTY COMMUNITY HEALTH COUNCIL INC NPI 1154624054

NPI Information

NPI: 1154624054
Provider Name: TRI COUNTY COMMUNITY HEALTH COUNCIL INC

Doing Business As: COMMWELL HOUSE - ANGELIC HOUSE

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1206 E WALNUT ST
GOLDSBORO, NC
ZIP 27530
Phone: (919) 735-1531
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TRI COUNTY COMMUNITY HEALTH COUNCIL INC is an adult mental health clinic center in Goldsboro, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. TRI COUNTY COMMUNITY HEALTH COUNCIL INC NPI is 1154624054. The provider is registered as an organization entity type.
The provider Is Doing Business As Commwell House - Angelic House.

The provider's business location address is:

1206 E WALNUT ST
GOLDSBORO, NC
ZIP 27530-161
Phone: (919) 735-1531
Fax: (910) 567-5022

The provider's authorized official is William C Ellison .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (910) 567-7065.

The enumeration date for this NPI number is 12/15/2010 and was last updated on 4/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

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This page was last updated on: 5/5/2024

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