Healthcare Provider Details

I. General information

NPI: 1790640985
Provider Name (Legal Business Name): ONSLOW COUNTY PARTNERSHIP FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 DENNIS RD
JACKSONVILLE NC
28546-7287
US

IV. Provider business mailing address

900 DENNIS RD
JACKSONVILLE NC
28546-7287
US

V. Phone/Fax

Practice location:
  • Phone: 910-938-0336
  • Fax: 910-333-0604
Mailing address:
  • Phone: 910-938-0336
  • Fax: 910-333-0604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIKA E JOHNSON
Title or Position: CAC FISCAL SPECIALIST
Credential:
Phone: 910-968-2723