# A VOICE OF MY OWN THERAPEUTIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053636290
- **Authorized official:** MRS. AMELIA BENNETT (DIRECTOR)
- **Authorized official phone:** (910) 425-1445

## Contact information

- **Practice address:** 1000 COOKWOOD CT, RALEIGH, NC 27610-6072
- **Practice address phone:** (919) 400-9711
- **Practice address fax:** (910) 425-1445
- **Mailing address:** 1000 COOKWOOD CT, RALEIGH, NC 27610-6072
- **Mailing address phone:** (919) 400-9711
- **Mailing address fax:** (910) 425-1445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NC | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NC | Yes |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NC | — |

## Other

- **Enumeration date:** 03/31/2010
- **Last updated:** 03/31/2010