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Organization
A VOICE OF MY OWN THERAPEUTIC SERVICES
Active
Organization
A VOICE OF MY OWN THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMELIA BENNETT (DIRECTOR)
(910) 425-1445
Entity
Organization
Contact information
Practice address
1000 COOKWOOD CT, RALEIGH, NC 27610-6072
(919) 400-9711
(910) 425-1445
Mailing address
1000 COOKWOOD CT, RALEIGH, NC 27610-6072
(919) 400-9711
(910) 425-1445
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NC
251B00000X
Case Management Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NC
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NC
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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