CRYSTAL LAKE
NPI 1689716607
Community/Behavioral Health in Lakeview, NC

Active since February 13, 2007
285 CAMP EASTER RD, LAKEVIEW, NC 28350(910) 245-4339(910) 245-4799 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LAKE (NPI 1689716607) is a healthcare organization registered as a community/behavioral health in Lakeview, North Carolina and active in the NPI registry since February 2007. The organization lists Tim Hall, Vp/chief Of Behavioral Health Svcs, as its authorized official.

NPPES Registry Identity

NPI1689716607
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameROBESON HEALTH CARE CORPORATION
Location Address285 CAMP EASTER RDLakeview, NC 28350-1901
Mailing Address60 Commerce DrivePembroke, NC 28372 · (910) 521-2900 · Fax (910) 272-1654
Fax(910) 245-4799
Organization SubpartNo
Authorized OfficialTim HallVp/chief Of Behavioral Health Svcs · (910) 521-2900
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJune 28, 2017
NPI 1689716607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in NC · MHL-063-055
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License MHL-063-055 (NC)
285 CAMP EASTER RD, Lakeview, NC 28350

Other Names 1

Doing Business AsCrystal Lake

Other Identifiers 7

Medicaid8300803NC
Medicaid8300803PNC
Medicaid8300803QNC
Medicaid8300803GNC
Medicaid8300803BNC
Medicaid6005787NC
Medicare PIN2804358NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
285 CAMP EASTER RD
LAKEVIEW, NC 28350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robeson Health Care Corporation's NPI number?

The NPI number for Robeson Health Care Corporation is 1689716607. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Crystal Lake.

Where is Robeson Health Care Corporation located?

Robeson Health Care Corporation is located at 285 Camp Easter Rd, Lakeview, NC 28350. The listed phone number is (910) 245-4339.

What is Robeson Health Care Corporation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Robeson Health Care Corporation was last updated on June 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.