Healthcare Provider Details

I. General information

NPI: 1689596371
Provider Name (Legal Business Name): NC MENTAL HEALTH CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 WESTHIGH ST
CARY NC
27513-5737
US

IV. Provider business mailing address

201 WESTHIGH ST
CARY NC
27513-5737
US

V. Phone/Fax

Practice location:
  • Phone: 201-704-0929
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JAIME BLAUSTEIN
Title or Position: CEO
Credential:
Phone: 201-704-0929