Provider Demographics
NPI:1407035314
Name:ABOVE AND BEYOND BEHAVIORAL HEALTHCARE SERVICES CORP.
Entity Type:Organization
Organization Name:ABOVE AND BEYOND BEHAVIORAL HEALTHCARE SERVICES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:910-739-0008
Mailing Address - Street 1:PO BOX 2015
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-4015
Mailing Address - Country:US
Mailing Address - Phone:910-739-0008
Mailing Address - Fax:
Practice Address - Street 1:515 HARRIS AVE
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-3113
Practice Address - Country:US
Practice Address - Phone:910-739-0008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health