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Organization

CARDINAL CLINIC LLC

Active
Parent organization
CARDINAL CLINIC, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARDINAL CLINIC, LLC
Authorized official
CAROL DOYLE RHIA (QM MANAGER)
(910) 222-6234
Entity
Organization

Contact information

Practice address
841 CIRCLEWOOD DR, HAMLET, NC 28345-4529
(910) 582-4171
Mailing address
1540 PURDUE DR STE 200, FAYETTEVILLE, NC 28303-5510
(910) 867-8889
(910) 487-3061

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6603922
NC
Enumeration date
10/23/2006
Last updated
07/28/2008
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