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Organization
NORTHEASTERN CLINICAL SERVICES INC
Active
Organization
NORTHEASTERN CLINICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA H BROOKS PSYCHOLOGIST (EXECUTIVE DIRECTOR)
(252) 332-1610
Entity
Organization
Contact information
Practice address
103 DUNDEE ST, WINDSOR, NC 27983-6702
(252) 794-1255
(252) 794-1356
Mailing address
PO BOX 291, WINDSOR, NC 27983-0291
(252) 794-1255
(252) 794-1356
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2526
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107194
—
NC
Enumeration date
11/14/2006
Last updated
08/22/2020
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