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Organization

CAROLINA BEHAVIORAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELISABETH PESCE (SECRETARY)
(904) 605-4986
Entity
Organization

Contact information

Practice address
355 S MADISON BLVD, SUITE C2, ROXBORO, NC 27573-5485
(336) 597-2065
Mailing address
PO BOX 1630, PINEHURST, NC 28370-1630
(910) 295-6007

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5908637
NC
Enumeration date
12/10/2007
Last updated
03/15/2023
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