Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Southeastern Recovery Alternatives
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LARRY PITTMAN MA,LCAS,CCS (DIRECTOR)
(910) 272-3030
Entity
Organization
Contact information
Practice address
107 DALLAS AVE, RED SPRINGS, NC 28377-1849
(910) 272-3030
Mailing address
705- B WESLEY PINE ROAD, LUMBERTON, NC 28358
(910) 272-3030
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300343
—
NC
05
—
8300343B MA
—
NC
05
—
8300343P MA
—
NC
Enumeration date
04/24/2007
Last updated
08/22/2020
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