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Organization

ROBESON HEALTH CARE CORPORATION

Active
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Organization

ROBESON HEALTH CARE CORPORATION

Active
Other names
LUMBERTON HEALTH CENTER CASP
Organization subpart
No

Provider details

NPI number
Authorized official
TIM HALL M.DIV, LCAS, CCS (PRESIDENT/CEO)
(910) 521-2900
Entity
Organization

Contact information

Practice address
600 W 5TH ST, LUMBERTON, NC 28358-5410
(910) 738-5545
(910) 738-5565
Mailing address
60 COMMERCE PLZ, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
MHL-078-297
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008687
—
NC
05
—
8303476
—
NC
Enumeration date
04/19/2012
Last updated
06/28/2017
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