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Organization
NORTH CAROLINA STATE UNIVERSITY
Active
Organization
NORTH CAROLINA STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D LEFFLER (VICE CHANCELLOR, FINANCE & BUSINESS)
(919) 515-2155
Entity
Organization
Contact information
Practice address
512 BRICKHAVEN DR, SUITE 240A, RALEIGH, NC 27606-1492
(919) 515-9142
(919) 515-3483
Mailing address
BOX 7201, HOLLADAY HALL B, NCSU CAMPUS, RALEIGH, NC 27695
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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