Provider Demographics
NPI:1730409640
Name:CAROLINA BEHAVIORAL CARE
Entity type:Organization
Organization Name:CAROLINA BEHAVIORAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLEURY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-295-6007
Mailing Address - Street 1:3119 LEAR DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8817
Mailing Address - Country:US
Mailing Address - Phone:336-229-5905
Mailing Address - Fax:336-229-5906
Practice Address - Street 1:3119 LEAR DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8817
Practice Address - Country:US
Practice Address - Phone:336-229-5905
Practice Address - Fax:336-229-5906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty