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Organization

SOUTHERN CROSS MENTAL HEALTH CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SHERRY M TABOR QP (VICE PRESIDENT)
(910) 653-2007
Entity
Organization

Contact information

Practice address
1424 S JK POWELL BLVD, SUITE A & C, WHITEVILLE, NC 28472-9167
(910) 640-2007
(910) 640-3911
Mailing address
PO BOX 656, TABOR CITY, NC 28463-0656
(910) 653-2007
(910) 653-5222

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
12/10/2008
Last updated
12/10/2008
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