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Organization
ROBESON HEALTH CARE CORPORATION
Active
Organization
ROBESON HEALTH CARE CORPORATION
Active
Other names
Grace Court
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM HALL M.DIV. (VP/CHIEF OF BEHAVIORAL HEALTH SVCS)
(910) 521-2900
Entity
Organization
Contact information
Practice address
3750 MEADOW VIEW RD, APT. A-1, LUMBERTON, NC 28358-1920
(910) 618-9912
(910) 618-0728
Mailing address
60 COMMERCE PLAZA, PEMBROKE, NC 28372-2590
(910) 521-2900
(910) 775-9164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MHL-078-111
NC
251B00000X
Case Management Agency
MHL-078-111
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL-078-111
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005786
—
NC
05
—
8300802
—
NC
05
—
8300802B
—
NC
05
—
8300802G
—
NC
05
—
8300802P
—
NC
05
—
8300802Q
—
NC
Enumeration date
02/13/2007
Last updated
06/28/2017
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