# C-BLAC SERVICES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1609956630
- **Authorized official:** DR. JANET M WISE MSW, CSAC, LCAS (CEO)
- **Authorized official phone:** (919) 989-1786

## Contact information

- **Practice address:** 1302 W MARKET ST, SMITHFIELD, NC 27577-3339
- **Practice address phone:** (919) 989-1786
- **Practice address fax:** (919) 989-1791
- **Mailing address:** PO BOX 1629, SMITHFIELD, NC 27577-1629
- **Mailing address phone:** (919) 989-1786
- **Mailing address fax:** (919) 989-1791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MHL 051-128 | NC | Yes |
| 101YM0800X | Mental Health Counselor | MHL 051-128 | NC | — |
| 2084P0802X | Addiction Psychiatry Physician | MHL 051-128 | NC | — |
| 251B00000X | Case Management Agency | MHL 051-128 | NC | — |
| 251E00000X | Home Health Agency | MHL 051-128 | NC | — |
| 251K00000X | Public Health or Welfare Agency | MHL 051-128 | NC | — |
| 251S00000X | Community/Behavioral Health Agency | MHL 051-128 | NC | — |
| 261QM1300X | Multi-Specialty Clinic/Center | MHL 051-128 | NC | — |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 05/20/2008