# CONCORDIA, SEABROOKS, & MILES PTNRS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871681551
- **Authorized official:** MEREDITH NICKELBERRY (VICE PRESIDENT)
- **Authorized official phone:** (910) 826-8253

## Contact information

- **Practice address:** 1903 BRAGG BLVD, SUITE 4, FAYETTEVILLE, NC 28303-4563
- **Practice address phone:** (910) 826-8253
- **Practice address fax:** (910) 826-8254
- **Mailing address:** PO BOX 26108, FAYETTEVILLE, NC 28314-5018
- **Mailing address phone:** (910) 826-8253
- **Mailing address fax:** (910) 826-8254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-067-154 | NC | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 08/22/2020