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Organization
SOUTHEASTERN REGIONAL MENTAL HEALTH CENTE
Active
Organization
SOUTHEASTERN REGIONAL MENTAL HEALTH CENTE
Active
Other names
Southeastern Regional LME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE EVANS (FINANCE OFFICER)
(910) 272-1230
Entity
Organization
Contact information
Practice address
207 W 29TH ST, LUMBERTON, NC 28358-2901
(910) 272-1230
(910) 272-9397
Mailing address
450 COUNTRY CLUB RD, LUMBERTON, NC 28360-9494
(910) 272-1230
(910) 272-1299
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300922C
—
NC
05
—
8300922F
—
NC
Enumeration date
03/06/2007
Last updated
02/13/2009
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