Gridley Behavioral Healthcare, P.A.

LBN: Gridley Behavioral Healthcare, P.A.
Gridley Behavioral Healthcare, P.A. is an health care organization with primary practice located at 2100B N Herritage St , Kinston NC 28501-2222. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Gridley Behavioral Healthcare, P.A. can be contacted via phone (252) 522-3976, or through Gridley, Gregory Charles via phone (252) 522-3976.

Contact Information

Primary practice address
2100B N Herritage St Kinston NC 28501-2222
Phone: (252) 522-3976
Fax: (252) 522-1582
Website:
Map and Directions
Authorized official contact:
Name: Gridley, Gregory Charles PH.D.
Phone: (252) 522-3976

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1141 North Carolina

Profile Details

NPI number 1952377749
LBN Legal business name Gridley Behavioral Healthcare, P.A.
DBA Doing business as
Authorized official Gridley, Gregory Charles PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated Nov 6th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952377749 NPPES
North Carolina MEDICAID 6000369

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