| Southeastern Regional Mental Health Center | |
|
450 Country Club Rd Lumberton NC 28360-9494 | |
| (910) 272-1230 | |
| (910) 272-9397 |
| Full Name | Southeastern Regional Mental Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 450 Country Club Rd, Lumberton, North Carolina |
| Authorized Official Name and Position | Vicki Evans (FINANCE OFFICER) |
| Authorized Official Contact | 9102721230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Regional Mental Health Center 450 Country Club Rd Lumberton NC 28360-9494 Ph: (910) 272-1230 | Southeastern Regional Mental Health Center 450 Country Club Rd Lumberton NC 28360-9494 Ph: (910) 272-1230 |
| NPI Number | 1275698706 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 02/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275698706 | NPI | - | NPPES |
| 6005444 | Medicaid | NC | |
| 5901284 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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