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Organization

ASSOCIATE BEHAVIORAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY MOORE MA, P-LPC (CEO)
(910) 735-0556
Entity
Organization

Contact information

Practice address
206 E 7TH ST, LUMBERTON, NC 28358
(910) 735-0556
(910) 735-0557
Mailing address
206 E 7TH ST, LUMBERTON, NC 28358
(910) 735-0556
(910) 735-0557

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
8300348G
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8300348G
NC
Enumeration date
06/27/2007
Last updated
08/22/2020
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