Organization Name: | CORPUS CHRISTI MH DD SAS |
NPI Number: | 1053641829 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERYL R. MCRAE (CEO) |
Mailing Address: | 210 E 2nd St Lumberton |
State: | NC US |
Postal Code: | 283585620 |
Phone Number: | 9107352988 |
Fax Number: | 9107352987 |
NPI Enumeration Date: | 12/30/2009 |
NPI Last Update Date: | 12/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MHL078241 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |