Healthcare Provider Details

I. General information

NPI: 1992973895
Provider Name (Legal Business Name): ALBEMARLE MENTAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2008
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 WASHINGTON STREET
PLYMOUTH NC
27962-2224
US

IV. Provider business mailing address

804 WASHINGTON STREET
PLYMOUTH NC
27962-2224
US

V. Phone/Fax

Practice location:
  • Phone: 252-793-1154
  • Fax: 252-793-3860
Mailing address:
  • Phone: 252-793-1154
  • Fax: 252-793-3860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

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