Provider Demographics
NPI:1629830807
Name:OPTUM BEHAVIORAL CARE OF NORTH CAROLINA, PC
Entity Type:Organization
Organization Name:OPTUM BEHAVIORAL CARE OF NORTH CAROLINA, PC
Other - Org Name:FIRST STEP SERVICES OF NORTH CAROLINA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STEELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-506-6267
Mailing Address - Street 1:11000 OPTUM CIR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-2503
Mailing Address - Country:US
Mailing Address - Phone:919-833-8899
Mailing Address - Fax:
Practice Address - Street 1:128 QUADE DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-7400
Practice Address - Country:US
Practice Address - Phone:919-651-8349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty