Organization
SOUTHEASTERN REGIONAL MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAREN PREVATTE (DIRECTOR)
(910) 272-1238
Entity
Organization
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 272-1230
(910) 738-8230
Mailing address
450 COUNTRY CLUB RD, LUMBERTON, NC 28360-9494
(910) 738-5261
(910) 738-8230
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901420
—
NC
05
—
5902916
—
NC
05
—
891122K
—
NC
05
—
891141Q
—
NC
05
—
8912273
—
NC
05
—
8912834
—
NC
05
—
89132HO
—
NC
05
—
89133RK
—
NC
05
—
891370N
—
NC
05
—
8961588
—
NC
Enumeration date
09/15/2006
Last updated
08/22/2020
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