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Organization
PROVISION SOLUTIONS, LLC
Active
Organization
PROVISION SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL MOSS (CHIEF OPERATING OFFICER)
(919) 623-5907
Entity
Organization
Contact information
Practice address
5320 TOMAHAWK TRL, RALEIGH, NC 27610-6017
(919) 623-5903
Mailing address
5320 TOMAHAWK TRL, RALEIGH, NC 27610-6017
(919) 623-5903
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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