Organization
CUMBERLAND COUNTY COMMUNICARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH HEMINGWAY HALLOCK (EXECUTIVE DIRECTOR)
(910) 222-6089
Entity
Organization
Contact information
Practice address
226 BRADFORD AVE., FAYETTEVILLE, NC 28301-5404
(910) 829-9017
(910) 485-4752
Mailing address
P.O. BOX 87830, FAYETTEVILLE, NC 28304-7830
(910) 829-9017
(910) 485-4752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
026-821
NC
251S00000X
Community/Behavioral Health Agency
MHL-026-821
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005914
—
NC
05
—
8301516
—
NC
Enumeration date
04/03/2007
Last updated
10/26/2012
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