| Cumberland County Communicare, Inc. | |
|
226 Bradford Ave. Fayetteville NC 28301-5404 | |
| (910) 829-9017 | |
| (910) 485-4752 |
| Full Name | Cumberland County Communicare, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 226 Bradford Ave., Fayetteville, North Carolina |
| Authorized Official Name and Position | Sarah Hemingway Hallock (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9102226089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumberland County Communicare, Inc. P.o. Box 87830 Fayetteville NC 28304-7830 Ph: (910) 829-9017 | Cumberland County Communicare, Inc. 226 Bradford Ave. Fayetteville NC 28301-5404 Ph: (910) 829-9017 |
| NPI Number | 1801917968 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 10/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801917968 | NPI | - | NPPES |
| 8301516 | Medicaid | NC | |
| 6005914 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 026-821 (North Carolina) | Primary |
| 251S00000X | Community/behavioral Health | MHL-026-821 (North Carolina) | Secondary |
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