Provider Demographics
NPI:1720527849
Name:COUNTY OF DAVIE OFFICE OF FINANCE AGENT
Entity Type:Organization
Organization Name:COUNTY OF DAVIE OFFICE OF FINANCE AGENT
Other - Org Name:DAVIE COUNTY BEHAVIORAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:336-753-6750
Mailing Address - Street 1:PO BOX 848
Mailing Address - Street 2:
Mailing Address - City:MOCKSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27028-0848
Mailing Address - Country:US
Mailing Address - Phone:336-753-6750
Mailing Address - Fax:336-751-0335
Practice Address - Street 1:172 S CLEMENT ST
Practice Address - Street 2:
Practice Address - City:MOCKSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27028-2336
Practice Address - Country:US
Practice Address - Phone:336-753-6750
Practice Address - Fax:336-751-0335
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF DAVIE OFFICE OF FINANCE AGENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-22
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health