Whalio Doctors

NPI 1114466893

Walter B Jones Center Lakeside Psychiatric Hospital

Organisation Psychiatric Hospital Greenville, NC

Practice location

Address
2577 W 5th St, Greenville, NC 27834
Phone
(252) 707-5091
Fax
(252) 830-8585
Mailing address
2577 W 5th St, Greenville, NC 27834-7813

Authorised official

Name
Karen Burkes
Title
Deputy Secretary Fbbhdd Services
Phone
(919) 855-4700

Registered specialties (2)

Psychiatric Hospital Primary
Hospitals Taxonomy 283Q00000X
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1114466893
Entity type
Organization
NPI issued
15 Feb 2017
Record last updated
17 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.