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PAVILLON BY THE SEA NPI 1306351325


NPI Information

NPI: 1306351325
Provider Name: PAVILLON BY THE SEA
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 34D1051391

Address:
3420A WRIGHTSVILLE AVE
WILMINGTON, NC
ZIP 28403
Phone: (910) 260-4050
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PAVILLON BY THE SEA is a mental health (including community mental health center) clinic center in Wilmington, NC. PAVILLON BY THE SEA NPI is 1306351325. The provider is registered as an organization entity type.

The provider's business location address is:

3420A WRIGHTSVILLE AVE
WILMINGTON, NC
ZIP 28403-118
Phone: (910) 260-4050
Fax: (844) 727-5811

The provider's authorized official is Cindy Keator .
The authorized official title is Financial Assistant and has the following contact phone number (828) 694-2300.

The CLIA number assigned to this NPI record is 34D1051391 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2017 and was last updated on 12/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)MHL-065-255NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.