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Organization
WAKE TEEN MEDICAL SERVICES INC.
Active
Organization
WAKE TEEN MEDICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE S. WOOD (EXECUTIVE DIRECTOR)
(919) 828-0035
Entity
Organization
Contact information
Practice address
505 OBERLIN RD, SUITE 204, RALEIGH, NC 27605-1397
(919) 828-0035
(919) 828-0355
Mailing address
505 OBERLIN RD, SUITE 204, RALEIGH, NC 27605-1397
(919) 828-0035
(919) 828-0355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005424
—
NC
Enumeration date
12/31/2007
Last updated
12/31/2007
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