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NEW RIVER SERVICE AUTHORITY NPI 1205132008


NPI Information

NPI: 1205132008
Provider Name: NEW RIVER SERVICE AUTHORITY

Doing Business As: NEW RIVER BEHAVIORAL HEALTHCARE

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
172 LUKIN ST
MARION, NC
ZIP 28752
Phone: (828) 263-5666
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NEW RIVER SERVICE AUTHORITY is an adolescent and children mental health clinic center in Marion, 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. NEW RIVER SERVICE AUTHORITY NPI is 1205132008. The provider is registered as an organization entity type.
The provider Is Doing Business As New River Behavioral Healthcare.

The provider's business location address is:

172 LUKIN ST
MARION, NC
ZIP 28752-245
Phone: (828) 263-5666
Fax: (828) 262-5687

The provider's authorized official is Donna G Buchanan .
The authorized official title is Provider Panel Manager and has the following contact phone number (828) 263-5666.

The enumeration date for this NPI number is 1/27/2011 and was last updated on 1/27/2011.


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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthMHL-059-050NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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