SOUTHERN CROSS

SOUTHPORT, NC
NPI1386825180
Entity TypeOrganization
Authorized ContactWILLIAM DALE HUDSON
Owner
910-653-2007
Organization Subpart ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies103TM1800X Psychologist, Intellectual & Developmental Disabilities
103TP2701X Psychologist, Group Psychotherapy
1041C0700X Social Worker, Clinical
106H00000X Marriage & Family Therapist
101Y00000X Counselor
101YM0800X Counselor, Mental Health
101YP1600X Counselor, Pastoral
101YP2500X Counselor, Professional
103TB0200X Psychologist, Cognitive & Behavioral
103TC0700X Psychologist, Clinical
103TC1900X Psychologist, Counseling
103TC2200X Psychologist, Clinical Child & Adolescent
103TF0000X Psychologist, Family
103TH0100X Psychologist, Health Service
Enumeration Date2007-11-20
Last Update Date2007-11-20
Business Address
SOUTHERN CROSS
4705 SOUTHPORT ROAD SE SUITE 108
SOUTHPORT, NC 28461-9074
Phone number: 910-457-6086
Mailing Address
SOUTHERN CROSS
PO BOX 656
TABOR CITY, NC 28463-0656
Phone number: 910-653-2007