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ROBESON HEALTH CARE CORPORATION

Addiction Substance Use Disorder

Fairmont, North Carolina

Provider NPI: 1417914722

Organization Information:
Organization Name:  ROBESON HEALTH CARE CORPORATION
Organization is not Subpart
Authorized Official:  GEORGE TIMOTHY HALL  PRESIDENT/CEO  910-5212900

Practice Location:
1212 S WALNUT ST  FAIRMONT, NC 28340 US
Tel: 910-628-6711  Fax: 910-628-5735

Business Mailing Address:
60 COMMERCE PLZ  PEMBROKE, NC 28372 US
Tel: 910-521-2900  Fax: 910-775-9165

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
NCMHL-078-063
Y261QF0400XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
344570 A/CNC05
6005792NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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