Organization · Type 2 NPI

J. Thomas Stack, Ph.d., PA

Mental Health Clinic/Center (Including Community Mental Health Center) · Jacksonville, NC

NPI number 1962519165 Active

Practice location

2444 Commerce Rd
Jacksonville, NC 28546-7560

Call (910) 347-5511 Map

Fax (910) 346-3970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X0321 (NC)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1962519165

J. Thomas Stack, Ph.d., PA's National Provider Identifier is 1962519165, issued on Aug 24, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Jacksonville, NC. The record was last updated on Aug 22, 2020.