Organization
CHILDREN'S HEALTH OF CAROLINA, DBA LUMBERTON CHILDREN'S CLINIC MENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE DUCKWORTH (COMPLIANCE OFFICER)
(910) 738-8060
Entity
Organization
Contact information
Practice address
400 LIBERTY HILL RD, LUMBERTON, NC 28358-2446
(910) 738-8060
(910) 671-3600
Mailing address
400 LIBERTY HILL RD, LUMBERTON, NC 28358-2446
(910) 738-8060
(910) 671-3600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902032
—
NC
Enumeration date
08/30/2007
Last updated
08/30/2007
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