Provider Demographics
NPI:1770709289
Name:UNIVERSITY OF NORTH CAROLINA HEALTHCARE
Entity type:Organization
Organization Name:UNIVERSITY OF NORTH CAROLINA HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADDICTIONS THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:FRIDAY
Authorized Official - Last Name:GRACE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:919-966-6097
Mailing Address - Street 1:1101 WEAVER DAIRY RD
Mailing Address - Street 2:STE 103
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1538
Mailing Address - Country:US
Mailing Address - Phone:919-966-6097
Mailing Address - Fax:919-843-6531
Practice Address - Street 1:1101 WEAVER DAIRY RD
Practice Address - Street 2:STE 103
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1538
Practice Address - Country:US
Practice Address - Phone:919-966-6097
Practice Address - Fax:919-843-6531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3148282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital