Western Avenue Facility - Rocky Mount

LBN: The Mental Health Association In North Carolina, Inc.
Western Avenue Facility - Rocky Mount is an health care organization with primary practice located at 511 Western Ave , Rocky Mount NC 27804-5626. 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 (252) 446-6555, or through Cochran, Kevin via phone (919) 866-3287.

Contact Information

Primary practice address
511 Western Ave Rocky Mount NC 27804-5626
Fax:
Website:
Authorized official contact:
Name: Cochran, Kevin

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-064-005 North Carolina

Profile Details

NPI number 1992928980
LBN Legal business name The Mental Health Association In North Carolina, Inc.
DBA Doing business as Western Avenue Facility - Rocky Mount
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 1992928980 NPPES
North Carolina MEDICAID 7805253

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