Provider Demographics
NPI:1508502410
Name:MULTICULTURAL RESOURCES CENTER, INC.
Entity Type:Organization
Organization Name:MULTICULTURAL RESOURCES CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-987-5071
Mailing Address - Street 1:980 KENNESAW DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-5757
Mailing Address - Country:US
Mailing Address - Phone:910-987-5071
Mailing Address - Fax:910-230-5542
Practice Address - Street 1:6188 ARABIA RD
Practice Address - Street 2:
Practice Address - City:LUMBER BRIDGE
Practice Address - State:NC
Practice Address - Zip Code:28357-9643
Practice Address - Country:US
Practice Address - Phone:910-565-2113
Practice Address - Fax:910-230-5542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health