Provider Demographics
NPI:1053505016
Name:ROBESON COUNTY COMMITTEE ON DOMESTIC VIOLENCE
Entity Type:Organization
Organization Name:ROBESON COUNTY COMMITTEE ON DOMESTIC VIOLENCE
Other - Org Name:SOUTHEASTERN FAMILY VIOLENCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERIM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:E
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:PLCSW
Authorized Official - Phone:910-739-8622
Mailing Address - Street 1:108 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-4844
Mailing Address - Country:US
Mailing Address - Phone:910-739-8622
Mailing Address - Fax:910-739-1180
Practice Address - Street 1:108 W 9TH ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-4844
Practice Address - Country:US
Practice Address - Phone:910-739-8622
Practice Address - Fax:910-739-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable