# NORTH CAROLINA RECOVERY SUPPORT SERVICES

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

## Provider details

- **NPI number:** 1326340464
- **Authorized official:** MS. KRYSTAL GLENN (CO-OWNER)
- **Authorized official phone:** (919) 431-9874

## Contact information

- **Practice address:** 1100 NAVAHO DR, SUITE 125, RALEIGH, NC 27609-7319
- **Practice address phone:** (919) 431-9874
- **Mailing address:** 1100 NAVAHO DR, SUITE 125, RALEIGH, NC 27609-7319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2010
- **Last updated:** 11/22/2010