Healthcare Provider Details

I. General information

NPI: 1659425429
Provider Name (Legal Business Name): ALBEMARLE MENTAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160-A CAMDEN MEDICAL PARK
CAMDEN NC
27921
US

IV. Provider business mailing address

160-A CAMDEN MEDICAL PARK
CAMDEN NC
27921
US

V. Phone/Fax

Practice location:
  • Phone: 252-335-5158
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CHARLES FRANKLIN JR.
Title or Position: AREA DIRECTOR
Credential:
Phone: 252-335-1113