Organization
DIRECCARE BEHAVIORAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERICK MARCEL COE (CO-OWNER)
(910) 827-3992
Entity
Organization
Contact information
Practice address
63 PRIDGEN RD, LUMBERTON, NC 28358-9726
(910) 608-0202
Mailing address
63 PRIDGEN RD, LUMBERTON, NC 28358-9726
(910) 608-0202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
03/02/2009
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