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Organization
PETERKIN AND ASSOCIATES, INC.
Active
Organization
PETERKIN AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE D. SMITH ED.D (EXECUTIVE DIRECTOR)
(910) 323-1817
Entity
Organization
Contact information
Practice address
128 W. 5TH STREET, LUMBERTON, NC 28358-5539
(910) 738-3999
(910) 738-3400
Mailing address
131 HAY STREET, SUITE 201, FAYETTEVILLE, NC 28301-5649
(910) 323-1817
(910) 323-2607
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NC
324500000X
Substance Abuse Rehabilitation Facility
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302017
—
NC
05
—
8302017A
—
NC
05
—
8302017B
—
NC
05
—
8302017G
—
NC
Enumeration date
04/25/2007
Last updated
11/10/2009
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