Cardinal Clinic LLC
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Hamlet, NC
NPI 1689757809 · NPPES record last updated Jul 28, 2008
Key facts
- NPI
- 1689757809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- CARDINAL CLINIC LLC
- Practice address
- 841 Circlewood Dr
Hamlet, NC 28345-4529 - Phone
- (910) 582-4171
- NPI assigned
- Oct 23, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CARDINAL CLINIC, LLC
Authorized official
- Name
- Carol Doyle, RHIA
- Title
- QM Manager
- Phone
- (910) 222-6234
Corporate family (same tax ID) 6
Practitioners 2
-
Sonia M. Rhodie, PH.D/
National Provider Directory
- Tax ID family
- Cardinal Clinic LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
841 Circlewood Dr
Hamlet, NC 28345-4529
Mailing address
1540 Purdue Dr Ste 200
Fayetteville, NC 28303-5510
Phone (910) 867-8889
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603922 | Medicaid | NC |
Other providers in Hamlet, NC
- Britthaven, Inc.
- Diane Lynn Brown
- H Marshall Brown
- C & Q Transportation
- Datwon Deshawn Canty
- Havanna Holfert Carter
- Clearwaters Counseling Services, LLC
- Clearwaters Counseling Services, LLC
- William Nall Cleveland
- William Raymond Comeau
All providers in Hamlet, NC · Mental Illness Community Based Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.