Crystal River Psychiatric, Grp

NPI 1003946047 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1003946047
Enumeration Date 03/07/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT HARVEY ROBERT
Position OWNER
Phone (910) 799-2283
Fax (910) 791-9227
Practice Location
2595 S 17TH ST
WILMINGTON NC, 28401-7748, US
Phone (910) 799-2283
Fax (910) 791-9227
Business Location
2595 S 17TH ST
WILMINGTON NC, 28401-7748, US
Phone (910) 799-2283
Fax (910) 791-9227
Toxanomy
Taxonomy Code 2084P0800X
License State North Carolina
License Number 104694
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According to our database, Crystal River Psychiatric, Grp NPI is 1003946047, taxonomy code is 2084P0800X and license number is 104694, license state is located at North Carolina. Crystal River Psychiatric, Grp physically located at 2595 S 17th St, Wilmington NC, 28401-7748. NPI Number 1033115704 has the healthcare provider type.

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1003946047 NPI number is provided on an as is basis without warranty of any kind. 1003946047 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal River Psychiatric, Grp are for informational purposes only.