| Organization Name: | ROBESON HEALTH CARE CORPORATION |
| NPI Number: | 1023150968 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIM HALL (DIRECTOR OF BEHAVIORAL HEALTH SVCS) |
| Mailing Address: | 109 Cambridge Pl Smithfield |
| State: | NC US |
| Postal Code: | 275774717 |
| Phone Number: | 9199898114 |
| Fax Number: | 9199380503 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | MHL-051-139 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |