Provider Demographics
NPI:1538618038
Name:STANDARDS-BASED SOLUTIONS BEHAVIORAL HEALTH CONSULTING & MANAGEMENT
Entity type:Organization
Organization Name:STANDARDS-BASED SOLUTIONS BEHAVIORAL HEALTH CONSULTING & MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:S
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA MSW
Authorized Official - Phone:919-672-4472
Mailing Address - Street 1:1301 E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-3319
Mailing Address - Country:US
Mailing Address - Phone:919-967-9964
Mailing Address - Fax:919-967-9965
Practice Address - Street 1:105 E HARDEN ST
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-3001
Practice Address - Country:US
Practice Address - Phone:919-967-9964
Practice Address - Fax:919-967-9965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-25
Last Update Date:2016-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty