Provider Demographics
NPI:1679703813
Name:MULTICULTURAL RESOURCES CENTER
Entity Type:Organization
Organization Name:MULTICULTURAL RESOURCES CENTER
Other - Org Name:NEW START HOLISTIC CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:FINANCE SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-864-7729
Mailing Address - Street 1:980 KENNASAW 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:910-864-7729
Mailing Address - Fax:910-864-5389
Practice Address - Street 1:980 KENNASAW DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-5757
Practice Address - Country:US
Practice Address - Phone:910-864-7729
Practice Address - Fax:910-864-5389
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY DEVELOPMENT CENTER OF HOPE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty