Organization · Type 2 NPI

Robeson Health Care Corporation

Community/Behavioral Health Agency · Greenville, NC

NPI number 1063554095 Active

Practice location

3362 Frontgate Dr Apt 11
Greenville, NC 27834-8584

Call (252) 752-5555 Map

Fax (252) 752-5455

Mailing address

60 Commerce Plaza Cir
Pembroke, NC 28372-7386

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	MHL-074-117 (NC)
Community/Behavioral Health Agency Primary	251S00000X	MHL-074-117 (NC)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1063554095
Entity type: Organization (Type 2)
Issued: Feb 13, 2007
Last updated: Dec 14, 2018
Status: Active

Other names

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The Village · doing business as
The Village · doing business as

Authorized official

Mr. Tim Hall, M.DIV.
VP/chief of Behavorial Health SVCS
(910) 521-2900

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063554095

Robeson Health Care Corporation's National Provider Identifier is 1063554095, issued on Feb 13, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Greenville, NC. The record was last updated on Dec 14, 2018.