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Organization
ROBESON HEALTH CARE CORPORATION
Active
Organization
ROBESON HEALTH CARE CORPORATION
Active
Other names
Cambridge Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM HALL MDIV (DIRECTOR OF BEHAVIORAL HEALTH SVCS)
(910) 521-2900
Entity
Organization
Contact information
Practice address
109 CAMBRIDGE PL, SMITHFIELD, NC 27577-4717
(919) 989-8114
(919) 938-0503
Mailing address
60 COMMERCE PLAZA CIR, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MHL-051-139
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL-051-139
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005788
—
NC
05
—
8300616
—
NC
05
—
8300616B
—
NC
05
—
8300616G
—
NC
05
—
8300616P
—
NC
Enumeration date
02/13/2007
Last updated
06/28/2017
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