| Organization Name: | ROBESON HEALTH CARE CORPORATION |
| NPI Number: | 1063554095 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIM HALL (VP/CHIEF OF BEHAVORIAL HEALTH SVCS) |
| Mailing Address: | 108 W Firetower Rd Unit E Winterville |
| State: | NC US |
| Postal Code: | 285908371 |
| Phone Number: | 2527525555 |
| Fax Number: | 2527525455 |
| 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-074-117 |
| 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: | |