Provider Demographics
NPI:1083010292
Name:UNIVERSITY OF NORTH CAROLINA DEPARTMENT OF PSYCHIATRY
Entity Type:Organization
Organization Name:UNIVERSITY OF NORTH CAROLINA DEPARTMENT OF PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE CLINICAL DIRECTOR /
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-966-7012
Mailing Address - Street 1:UNC NEUROSCIENCES HOSPITAL
Mailing Address - Street 2:101 MANNING DRIVE CB #7160
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNC NEUROSCIENCES HOSPITAL
Practice Address - Street 2:101 MANNING DRIVE CB #7160
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-7012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-16
Last Update Date:2014-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004054133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty