| Organization Name: | ROBESON HEALTH CARE CORPORATION |
| NPI Number: | 1093772410 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JINNIE LOWERY (PRESIDENT CEO) |
| Mailing Address: | 610 E Martin Luther King Jr Dr Maxton |
| State: | NC US |
| Postal Code: | 283641800 |
| Phone Number: | 9108445253 |
| Fax Number: | 9108443290 |
| NPI Enumeration Date: | 04/28/2006 |
| NPI Last Update Date: | 06/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | MHL078127 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |