Basic Information
Provider Information
NPI: 1831375021
EntityType: 2
ReplacementNPI:  
OrganizationName: CATAWBA MENTAL HEALTH CENTER
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 223 E MAIN ST
Address2: STE 300
City: ROCK HILL
State: SC
PostalCode: 297304571
CountryCode: US
TelephoneNumber: 8033272012
FaxNumber: 8033297141
Practice Location
Address1: 166 DOTSON ST
Address2:  
City: ROCK HILL
State: SC
PostalCode: 297322334
CountryCode: US
TelephoneNumber: 8033289600
FaxNumber: 8033297141
Other Information
ProviderEnumerationDate: 01/17/2008
LastUpdateDate: 01/17/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MEGEE
AuthorizedOfficialFirstName: LINDA
AuthorizedOfficialMiddleName: E
AuthorizedOfficialTitleorPosition: BILLING MANAGER
AuthorizedOfficialTelephone: 8033289600
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


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