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NPI Code Detail

MEDICARE: UNIVERSAL MENTAL HEALTH SERVICES, INC

MEDICARE: UNIVERSAL MENTAL HEALTH SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1164784203
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSAL MENTAL HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 839 WILKESBORO BLVD NE
Second Line :
City : LENOIR
State : NC
Zip : 28645-4612
Country : US
Telephone Number : 828-759-2228
Fax Number : 828-759-0159
Provider Business Practice Location Address
First Line : 839 WILKESBORO BLVD NE
Second Line :
City : LENOIR
State : NC
Zip : 28645-4612
Country : US
Telephone Number : 828-759-2228
Fax Number : 828-759-0159
Authorized Official
Title or Position : VICE PRESIDENT OF OPERATIONS
Name : JAMES BROOK PHILLIPS
Credential :
Telephone Number : 828-759-2228
Provider Enumeration Date : 06/14/2012
Last Update Date : 06/14/2012

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