Provider Demographics
NPI:1780575829
Name:CAPE FEAR COUNCIL OF GOVERNMENTS
Entity type:Organization
Organization Name:CAPE FEAR COUNCIL OF GOVERNMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SERKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-395-4553
Mailing Address - Street 1:1480 HARBOUR DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7742
Mailing Address - Country:US
Mailing Address - Phone:910-395-4553
Mailing Address - Fax:910-395-2684
Practice Address - Street 1:1480 HARBOUR DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7742
Practice Address - Country:US
Practice Address - Phone:910-395-4553
Practice Address - Fax:910-395-2684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty