Healthcare Provider Details

I. General information

NPI: 1386798197
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

407 N MAIN HWY
MANTEO NC
27954
US

IV. Provider business mailing address

407 N MAIN HWY
MANTEO NC
27954
US

V. Phone/Fax

Practice location:
  • Phone: 252-473-1135
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

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