Organization Name: | CAROLINA BEHAVIORAL CARE |
NPI Number: | 1245391036 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT A. FLEURY (MEDICAL DIRECTOR) |
Mailing Address: | 109 Medical Cir Ste A Rockingham |
State: | NC US |
Postal Code: | 283795221 |
Phone Number: | 9108950980 |
Fax Number: | 9109977722 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 11/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |