# SOUTHEASTERN REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeastern Recovery Alternatives
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215003215
- **Authorized official:** MR. C. THOMAS JOHNSON III CPA (V. P. FINANCE)
- **Authorized official phone:** (910) 671-5090

## Contact information

- **Practice address:** 705B WESLEY PINES RD, LUMBERTON, NC 28358-2105
- **Practice address phone:** (910) 738-1191
- **Mailing address:** 300 W 27TH ST, LUMBERTON, NC 28358-3075
- **Mailing address phone:** (910) 671-5000
- **Mailing address fax:** (910) 671-5858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | H0064 | NC | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 03/15/2012