Provider Demographics
NPI:1003163221
Name:TRI-COUNTY BEHAVIORAL CARE
Entity Type:Organization
Organization Name:TRI-COUNTY BEHAVIORAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GENWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-918-7357
Mailing Address - Street 1:608 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-4924
Mailing Address - Country:US
Mailing Address - Phone:910-918-7357
Mailing Address - Fax:910-422-8575
Practice Address - Street 1:608 E 7TH ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-4924
Practice Address - Country:US
Practice Address - Phone:910-918-7357
Practice Address - Fax:910-422-8575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health