CARDINAL CLINIC, LLC
NPI 1033427091
Community/Behavioral Health in Fayetteville, NC
- Organization
- Community/Behavioral Health
About CARDINAL CLINIC, LLC
This page provides the complete NPI Profile along with additional information for Cardinal Clinic, Llc, a provider established in Fayetteville, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1033427091 assigned on September 2010. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Theodore W Lane Ph.d. (Managing Partner)
- NPI
- 1033427091 Verify this NPI
- Provider Name
- CARDINAL CLINIC, LLC
- Entity Type
- Organization
- Location Address
- 1540 PURDUE DRIVE SUITE 200 FAYETTEVILLE, NC 28303
- Location Phone
- (910) 867-8889
- Location Fax
- (910) 401-1024
- Mailing Address
- 1540 PURDUE DRIVE SUITE 200 FAYETTEVILLE, NC 28303
- Mailing Phone
- (910) 867-8889
- Mailing Fax
- (910) 401-1024
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-23-2010
- Last Update Date
- 09-23-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management | |
| 2 | 253J00000X | Agencies | Foster Care Agency |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
FAYETTEVILLE, NC 28303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033427091, enumerated as an "organization" on September 23, 2010.
The provider is located at 1540 PURDUE DRIVE SUITE 200 FAYETTEVILLE, NC 28303 and the phone number is (910) 867-8889.
Community/Behavioral Health with taxonomy code 251S00000X.
