Organization
SOUTHEASTERN RESIDENTIAL SERVICES OF NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALANA ALICIA GEORGE (OWNER)
(919) 850-3368
Entity
Organization
Contact information
Practice address
4811 RIVER STREAM WAY, 204, RALEIGH, NC 27616-6583
(919) 850-3368
Mailing address
4811 RIVER STREAM WAY, 204, RALEIGH, NC 27616-6583
(919) 850-3368
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
320600000X
NC
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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