Brookdale

LBN: The Mental Health Association In North Carolina, Inc.
Brookdale is an health care organization with primary practice located at 711 Brookdale Dr , Statesville NC 28677-3405. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. The Mental Health Association In North Carolina, Inc. can be contacted via phone (704) 872-5540, or through Cochran, Kevin via phone (919) 866-3287.

Contact Information

Primary practice address
711 Brookdale Dr Statesville NC 28677-3405
Phone: (704) 872-5540
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cochran, Kevin
Phone: (919) 866-3287

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-049-062 North Carolina

Profile Details

NPI number 1780807735
LBN Legal business name The Mental Health Association In North Carolina, Inc.
DBA Doing business as Brookdale
Authorized official Cochran, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780807735 NPPES
North Carolina MEDICAID 7803432

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