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Organization
PERKINS PARTIAL HOSPITAL PROGRAM, PLLC
Active
Organization
PERKINS PARTIAL HOSPITAL PROGRAM, PLLC
Active
Other names
Perkins PHP, Bright Path Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTEL SULLIVAN (CEO)
(919) 276-4804
Entity
Organization
Contact information
Practice address
203 CAPCOM AVE STE 104, WAKE FOREST, NC 27587-6514
(919) 276-4804
Mailing address
203 CAPCOM AVE STE 104, WAKE FOREST, NC 27587-6514
(919) 276-4804
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
06/11/2024
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