Organization
CAROLINA BEHAVIORAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FLEURY MD (MEDICAL DIRECTOR)
(910) 295-6007
Entity
Organization
Contact information
Practice address
5505 CREEDMOOR RD STE 100, RALEIGH, NC 27612-6333
(919) 852-5352
(919) 852-5323
Mailing address
PO BOX 1630, PINEHURST, NC 28370-1630
(910) 295-6007
(910) 215-0179
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122R
BCBS GROUP
NC
05
—
6006009
—
NC
Enumeration date
01/23/2007
Last updated
08/31/2007
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