Associate Behavioral Service
Preferred Provider Organization in Lumberton, NC. Organization (NPI-2).
NPI number1649455767
StatusActive
Last updated in NPPESJan 8, 2008
Details
- NPI
- 1649455767
- Entity type
- Organization (NPI-2)
- Legal business name
- Associate Behavioral Service
- Organization subpart
- No
- Enumeration date
- Jan 8, 2008
- Last updated
- Jan 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | – | NC | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
206 E 7th StLumberton, NC 28358-4882
Phone 910-735-0556 · Fax 910-739-7877
Mailing address
206 E 7th StLumberton, NC 28358-4882
Phone 910-735-0556 · Fax 910-739-7877
Authorized official
Alonzo Mason
Finance Supervisor
9107350556
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