| NPI | 1942344841 |
|---|---|
| Doing Business As | NORTHSIDE BEHAVIORAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | JON GRAHAM CFO 252-209-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC H0001) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-04-01 |