Organization
HEAVEN SENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERMAINE ALBERTINA BLOUNT (OWNER/DIRECTOR)
(919) 247-4760
Entity
Organization
Contact information
Practice address
3112 BERRY COURT., RALEIGH, NC 27610
(919) 900-8263
(919) 900-8263
Mailing address
P.O BOX 464, WENDELL, NC 27610
(919) 900-8263
(919) 900-8263
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0850
NC
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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