Healthcare Provider Details

I. General information

NPI: 1790087021
Provider Name (Legal Business Name): FOCUS BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2010
Last Update Date: 11/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 QUEEN ST
MORGANTON NC
28655-3341
US

IV. Provider business mailing address

207 QUEEN ST
MORGANTON NC
28655-3341
US

V. Phone/Fax

Practice location:
  • Phone: 828-439-8191
  • Fax: 828-439-2622
Mailing address:
  • Phone: 828-439-8191
  • Fax: 828-439-2622

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 Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAMELA JOHNSON DOUGLAS
Title or Position: PROGRAM DIRECTOR
Credential: RN
Phone: 828-439-8191