Organization
ASOOCIATE 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 EAST 7TH STREET, LUMBERTON, NC 28358
(910) 735-0556
(910) 735-0557
Mailing address
206 EAST 7TH STREET, LUMBERTON, NC 28358
(910) 735-0556
(910) 735-0557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6005028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005028
—
NC
Enumeration date
07/25/2007
Last updated
07/25/2007
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