Organization
CAROLINA BEHAVIORAL CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH PESCE (SECRETARY)
(904) 605-4986
Entity
Organization
Contact information
Practice address
289 OLMSTED BLVD, SUITE 1, PINEHURST, NC 28374-9023
(910) 295-6007
(910) 215-0179
Mailing address
3530 STEFFISBURG DR, NASHVILLE, TN 37211-8358
(480) 529-6034
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122R
BCBS GROUP
NC
05
—
890122R
—
NC
Enumeration date
06/04/2006
Last updated
03/14/2023
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