Organization
ASSOCIATE BEHAVIORAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALONZO MASON (FINANCE SUPERVISOR)
(910) 735-0556
Entity
Organization
Contact information
Practice address
206 E 7TH ST, LUMBERTON, NC 28358-4882
(910) 735-0556
(910) 739-7877
Mailing address
206 E 7TH ST, LUMBERTON, NC 28358-4882
(910) 735-0556
(910) 739-7877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
305R00000X
Preferred Provider Organization
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300308G
—
NC
Enumeration date
01/08/2008
Last updated
01/08/2008
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