Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY L MCCULLERS-JACKSON
Deactivated OrganizationMARY L MCCULLERS-JACKSON is a Psychiatric Residential Treatment Facility organization located in ZEBULON, North Carolina. NPI 1912021486 is deactivated in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · ZEBULON, NC
This NPI has been deactivated.
The record was deactivated on June 3, 2008.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1912021486
- Provider Type
- Organization
- NPI Issued
- Mar 19, 2007 (1.2082191780822 yrs)
- Last Updated
- Jun 26, 2008
- Deactivated
- Jun 3, 2008
- Licenses
-
MHL092516 (NC)MHL 092 516 (NC)
Practice Information
- Address
-
501 BUNN STZEBULON, NC, 275979177Browse NC providers · Browse ZIP 27597
- Phone
- 9192693060
- Fax
- 9192667901
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
- Additional Specialty
- Psychiatric Residential Treatment Facility
Other Psychiatric Residential Treatment Facility Organizations in ZEBULON, NC
| Name | NPI |
|---|---|
| JACKSON FAMILY CARE | 1689720476 |
| CAROLINA CENTER FOR ADVANCED CARE | 1518180769 |
| MARY MANOR II | 1962192153 |
| MARY MANOR II | 1821824681 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.