THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA INC. NPI 1760605794

NPI Information

NPI: 1760605794
Provider Name: THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC.

Doing Business As: BRENTWOOD HOME

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 34D2047032

Address:
2325 BRENTWOOD ST
HIGH POINT, NC
ZIP 27263
Phone: (336) 861-2041
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THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC. is a community based residential treatment facility mental illness in High Point, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC. NPI is 1760605794. The provider is registered as an organization entity type.
The provider Is Doing Business As Brentwood Home.

The provider's business location address is:

2325 BRENTWOOD ST
HIGH POINT, NC
ZIP 27263-933
Phone: (336) 861-2041

The provider's authorized official is Kevin Cochran .
The authorized official title is Financial Assistant and has the following contact phone number (919) 866-3287.

The CLIA number assigned to this NPI record is 34D2047032 - other - group home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		MHL-041-059	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7804140	MEDICAID	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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