Organization
ASSOCIATE BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MOORE MA (CLINICAL DIRECTOR)
(910) 735-0556
Entity
Organization
Contact information
Practice address
206 E. 7TH STREET, LUMBERTON, NC 28358
(910) 735-0556
(910) 735-0556
Mailing address
PO BOX 920, LUMBERTON, NC 28359-0920
(910) 735-0556
(910) 735-0557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
NC
251E00000X
Home Health Agency
—
NC
251S00000X
Community/Behavioral Health Agency
—
NC
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409650
—
NC
05
—
6005212
—
NC
05
—
8300249H
—
NC
05
—
8300308B
—
NC
05
—
8300308G
—
NC
05
—
8300308H
—
NC
05
—
8300348
—
NC
05
—
8300348B
—
NC
05
—
8300348G
—
NC
Enumeration date
05/05/2008
Last updated
05/05/2008
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