| Southeastern Behavioral Healthcare Services | |
|
3435 Lackey St Lumberton NC 28360-9046 | |
| (910) 738-1587 | |
| (910) 738-1581 |
| Full Name | Southeastern Behavioral Healthcare Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3435 Lackey St, Lumberton, North Carolina |
| Authorized Official Name and Position | Virgil L Hutchinson (CEO) |
| Authorized Official Contact | 9107381587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Behavioral Healthcare Services Po Box 1004 Lumberton NC 28359-1004 Ph: (910) 738-1587 | Southeastern Behavioral Healthcare Services 3435 Lackey St Lumberton NC 28360-9046 Ph: (910) 738-1587 |
| NPI Number | 1215162771 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 05/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215162771 | NPI | - | NPPES |
| 8302200 | Medicaid | NC | |
| 8302200G | Medicaid | NC | |
| 8302200K | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL078167 (North Carolina) | Primary |
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