University of North Carolina at Chapel Hill
Organization Active NPI Community/Behavioral Health Agency · Chapel Hill, NC
NPI 1861677908 · NPPES record last updated Jul 2, 2008
Key facts
- NPI
- 1861677908
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- MHL-068-114 (NC)
- Legal business name
- UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
- Practice address
- 209 Connor Dr
Unit 17
Chapel Hill, NC 27514 - Phone
- (919) 960-3775
- NPI assigned
- Jan 8, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Authorized official
- Name
- Ms. Constance Renz, LCSW
- Title
- Director
- Phone
- (919) 966-9803
Corporate family (same tax ID) 29
National Provider Directory
- Tax ID family
- Unc Phys and Assocs
- Part of
- Unc Phys and Assocs
Locations
104 Airport Dr
#1270
Chapel Hill, NC 27599
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL-068-114 | NC | Yes |
Addresses
Primary practice location
209 Connor Dr
Unit 17
Chapel Hill, NC 27514
Mailing address
104 Airport Dr CB 1270
Chapel Hill, NC 27599-5023
Phone (919) 966-9803
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300699G | Medicaid | NC |
Other names
- Sunrise Diagnostic Assessment
Other providers in Chapel Hill, NC
- University of North Carolina at Chapel Hill
- University of North Carolina at Chapel Hill
- University of North Carolina at Chapel Hill
- University of North Carolina at Chapel Hill
- University of North Carolina at Chapel Hill
- University of North Carolina at Chapel Hill
- University of North Carolina at Chapel Hill
- University of North Carolina Chapel Hill
- University of North Carolina Chapel Hill
- University of North Carolina Department of Psychiatry
All providers in Chapel Hill, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.