Provider Demographics
NPI:1013661537
Name:CURRITUCK RESOURCE CENTER
Entity Type:Organization
Organization Name:CURRITUCK RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGEY
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:252-453-2595
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:MOYOCK
Mailing Address - State:NC
Mailing Address - Zip Code:27958-0370
Mailing Address - Country:US
Mailing Address - Phone:252-453-2595
Mailing Address - Fax:
Practice Address - Street 1:162 GRIGGS ACRES RD
Practice Address - Street 2:
Practice Address - City:POINT HARBOR
Practice Address - State:NC
Practice Address - Zip Code:27964-9611
Practice Address - Country:US
Practice Address - Phone:252-453-2595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty