| Direccare Behavioral Services,inc | |
| 129 West Broad St. Suite C Elizabethtown NC 28337-9005 | |
| (910) 872-0013 | |
| (910) 872-0019 | 
| Full Name | Direccare Behavioral Services,inc | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 129 West Broad St., Elizabethtown, North Carolina | 
| Authorized Official Name and Position | Dereck Coe (CO-OWNER) | 
| Authorized Official Contact | 9108720013 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Direccare Behavioral Services,inc 63 Pridgen Rd Lumberton NC 28358-9726 Ph: () - | Direccare Behavioral Services,inc 129 West Broad St. Suite C Elizabethtown NC 28337-9005 Ph: (910) 872-0013 | 
| NPI Number | 1780879825 | 
|---|---|
| Provider Enumeration Date | 09/12/2007 | 
| Last Update Date | 09/12/2007 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780879825 | NPI | - | NPPES | 
| 8301855H | Medicaid | NC | |
| 8301855G | Medicaid | NC | |
| 8301855B | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
| Carter Clinic, P A Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 W Broad St, Elizabethtown, NC 28337 Phone: 919-848-0132 | |
| Omni Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Martin Luther King Jr. Dr., Elizabethtown, NC 28337 Phone: 910-247-6822 Fax: 910-247-6829 | |
| Koship Industries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Twisted Hickory Rd, Elizabethtown, NC 28337 Phone: 843-998-1223 | |
| Modern Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107f W Broad St, Elizabethtown, NC 28337 Phone: 910-862-4009 Fax: 910-862-6004 | |
| Direccare Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 West Broad St., Elizabethtown, NC 28337 Phone: 910-872-0013 Fax: 910-872-0019 | |
| Primary Health Choice, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2950 W Broad St, Elizabethtown, NC 28337 Phone: 910-862-3040 | |
| Community Innovations, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Peanut Plant Rd, Elizabethtown, NC 28337 Phone: 910-862-8363 Fax: 910-862-8767 |