Healthcare Provider Details

I. General information

NPI: 1093026874
Provider Name (Legal Business Name): UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S CHURTON ST
HILLSBOROUGH NC
27278-2619
US

IV. Provider business mailing address

410 N GREENSBORO ST SUITE 220
CARRBORO NC
27510-1870
US

V. Phone/Fax

Practice location:
  • Phone: 919-928-5000
  • Fax:
Mailing address:
  • Phone: 919-966-9803
  • Fax: 919-966-9169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. HENDREE JONES
Title or Position: DIRECTOR
Credential: PHD
Phone: 919-966-9803