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Organization
SOUTHERN CROSS COMMUNITY SERVICES, INC
Active
Organization
SOUTHERN CROSS COMMUNITY SERVICES, INC
Active
Other names
Southern Cross Mental Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DALE HUDSON SR. (PRESIDENT/CEO)
(843) 716-6000
Entity
Organization
Contact information
Practice address
2202 WRIGHTSVILLE AVENUE, SUITE 114, WILMINGTON, NC 28403-2406
(910) 763-3773
(910) 763-3799
Mailing address
PO BOX 656, TABOR CITY, NC 28463-0656
(843) 716-6000
(843) 716-6007
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
3756
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301907
—
NC
05
—
8301907B
—
NC
05
—
8301907G
—
NC
Enumeration date
03/20/2007
Last updated
06/04/2009
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