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Organization
CAPE FEAR BEHAVIORAL HEALTH CENTER LLC
Active
Organization
CAPE FEAR BEHAVIORAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA ELIZABETH KIDD (MEMBER/MANAGER)
(910) 339-0400
Entity
Organization
Contact information
Practice address
6885 CLIFFDALE RD STE 202, FAYETTEVILLE, NC 28314-2834
(910) 339-0400
(910) 339-0396
Mailing address
6885 CLIFFDALE RD STE 202, FAYETTEVILLE, NC 28314-2834
(910) 339-0400
(910) 339-0396
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/14/2011
Last updated
10/03/2014
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