# EL SANCTUARY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Sanctuary
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942596028
- **Authorized official:** DR. QETSIYAH S YISRAEL PHD (DIRECTOR)
- **Authorized official phone:** (919) 351-9814

## Contact information

- **Practice address:** 4501 NEW BERN AVE, \#130-196, RALEIGH, NC 27610-1549
- **Practice address phone:** (919) 351-9814
- **Practice address fax:** (919) 255-6119
- **Mailing address:** 4501 NEW BERN AVE, \#130-196, RALEIGH, NC 27610-1549
- **Mailing address phone:** (919) 351-9814
- **Mailing address fax:** (919) 255-6119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 374K00000X | Religious Nonmedical Practitioner | — | NULL | Yes |
| 374K00000X | Religious Nonmedical Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2011
- **Last updated:** 06/27/2011