Organization
COUNTY OF CUMBERLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENSIE D LUCAS (ASSISTANT AREA DIRECTOR)
(910) 323-0601
Entity
Organization
Contact information
Practice address
226 BRADFORD AVE, FAYETTEVILLE, NC 28301-5404
(910) 323-0601
(910) 323-0096
Mailing address
PO BOX 3069, FAYETTEVILLE, NC 28302-3069
(910) 323-0601
(910) 323-0096
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-026-243
NC
Other
Enumeration date
03/07/2007
Last updated
01/16/2008
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