Individual provider · Type 1 NPI
Thomas McCollum
Mental Illness Community Based Residential Treatment Facility · Snow Hill, NC
NPI number
1972633691
Active
Practice location
202 Hart St
Snow Hill, NC 28580-1704
Mailing address
PO Box 295
Snow Hill, NC 28580-0295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
About NPI 1972633691
Thomas McCollum's National Provider Identifier is 1972633691, issued on Mar 6, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Snow Hill, NC. The record was last updated on Jul 8, 2007.