Provider Demographics
NPI:1093948432
Name:ADVOCACY BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:ADVOCACY BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VENNIE
Authorized Official - Middle Name:HUNTER
Authorized Official - Last Name:HIMBRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-229-9706
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:BAYBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28515-0457
Mailing Address - Country:US
Mailing Address - Phone:252-229-9706
Mailing Address - Fax:
Practice Address - Street 1:204 NEALS CK RD
Practice Address - Street 2:
Practice Address - City:BAYBORO
Practice Address - State:NC
Practice Address - Zip Code:28515
Practice Address - Country:US
Practice Address - Phone:252-229-9706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities