Organization
S A M CAC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARA GILL (EXECUTIVE DIRECTOR)
(252) 572-4112
Entity
Organization
Contact information
Practice address
704 S GARNETT ST, HENDERSON, NC 27536-4511
(252) 572-4112
Mailing address
704 S GARNETT ST, HENDERSON, NC 27536-4511
(252) 572-4112
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/17/2023
Last updated
08/21/2024
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