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Organization
ROBESON HEALTH CARE CORPORATION
Active
Organization
ROBESON HEALTH CARE CORPORATION
Active
Other names
The Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM HALL M.DIV. (VP/CHIEF OF BEHAVORIAL HEALTH SVCS)
(910) 521-2900
Entity
Organization
Contact information
Practice address
3362 FRONTGATE DR APT 11, GREENVILLE, NC 27834-8584
(252) 752-5555
(252) 752-5455
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-074-117
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL-074-117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005790
—
NC
05
—
8300615
—
NC
05
—
8300615B
—
NC
05
—
8300615P
—
NC
Enumeration date
02/13/2007
Last updated
12/14/2018
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