Organization
SOUTHCARE COMMUNITY SERVICE, INC
Active
Other names
SouthCare of NC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANEY B HARRILL (PRESIDENT/CEO)
(910) 368-1928
Entity
Organization
Contact information
Practice address
1506 MARKET ST, WILMINGTON, NC 28401-4871
(910) 254-4065
(910) 254-4067
Mailing address
1506 MARKET ST, WILMINGTON, NC 28401-4871
(910) 254-4065
(910) 254-4067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0015X
Psychosomatic Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
2084V0102X
Vascular Neurology Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/06/2009
Last updated
07/22/2010
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