Organization
CORPUS CHRISTI SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL RENEE MCRAE (PRESIDENT)
(910) 735-2988
Entity
Organization
Contact information
Practice address
210 E 2ND ST, LUMBERTON, NC 28358-5620
(910) 735-2988
(910) 735-2987
Mailing address
210 E 2ND ST, LUMBERTON, NC 28358-5620
(910) 735-2988
(910) 735-2987
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL078147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603610
—
NC
Enumeration date
03/20/2007
Last updated
08/22/2020
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