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Organization
SOUTHEASTERN BEHAVIORAL HEALTHCARE SERVICES
Active
Organization
SOUTHEASTERN BEHAVIORAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL L HUTCHINSON (CEO)
(910) 738-1587
Entity
Organization
Contact information
Practice address
3581 LACKEY ST, LUMBERTON, NC 28360-9048
(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
1041C0700X
Clinical Social Worker
C00269
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408093
—
NC
05
—
5909213
—
NC
05
—
6005229
—
NC
05
—
8300842
—
NC
05
—
8300842B
—
NC
05
—
8300842G
—
NC
05
—
8300842H
—
NC
05
—
8300842R
—
NC
05
—
8300842S
—
NC
05
—
8702171
—
NC
Enumeration date
06/20/2007
Last updated
06/25/2012
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