Organization
BEHAVIORAL HEALTH CARE OF CAPE FEAR VALLEY HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FISER (EXECUTIVE DIRECTOR)
(910) 615-5572
Entity
Organization
Contact information
Practice address
711 EXECUTIVE PL, 3RD FLOOR, FAYETTEVILLE, NC 28305-5193
(910) 615-3700
(910) 615-3798
Mailing address
1638 OWEN DRIVE, ATTN: MANAGED CARE PLANNING, FAYETTEVILLE, NC 28309-0408
(910) 615-3470
(910) 615-9761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005349
—
NC
05
—
890172J
—
NC
Enumeration date
02/06/2007
Last updated
08/11/2014
Update your record
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