Healthcare Provider Details

I. General information

NPI: 1972011484
Provider Name (Legal Business Name): CHILDREN'S CENTER OF SURRY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N MAIN ST
DOBSON NC
27017
US

IV. Provider business mailing address

PO BOX 692
DOBSON NC
27017-0692
US

V. Phone/Fax

Practice location:
  • Phone: 336-386-9144
  • Fax: 336-386-9147
Mailing address:
  • Phone: 336-386-9144
  • Fax: 336-386-9147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROBIN TESTERMAN BEESON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 336-386-9144