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Organization
PHILIP HOUSETHERAPEUTIC SERVICES INC
Active
Organization
PHILIP HOUSETHERAPEUTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSEMARY NJOKU ANAYO NJOKU BA, (CEO ADMINISTRATOR)
(919) 395-5227
Entity
Organization
Contact information
Practice address
5401 ORCHARD POND DR, RALEIGH, NC 27616-6183
(919) 862-1929
Mailing address
5801 CHERRYRAIN CT, RALEIGH, NC 27610-5586
(919) 676-5840
(919) 676-5839
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-092-644
NC
Other
Enumeration date
02/04/2007
Last updated
07/31/2008
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