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Organization
SOUTHEASTERN BEHAVIORAL HEALTHCARE
Active
Organization
SOUTHEASTERN BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIRGIL L HUTCHINSON (CEO)
(910) 738-1587
Entity
Organization
Contact information
Practice address
805 N FRANKLIN ST, WHITEVILLE, NC 28472-2735
(910) 738-1587
(910) 738-1581
Mailing address
PO BOX 1004, LUMBERTON, NC 28359-1004
(910) 738-1587
(910) 738-1581
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL078167
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302190
—
NC
05
—
8302190G
—
NC
05
—
8302190K
—
NC
Enumeration date
05/27/2009
Last updated
05/27/2009
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