Organization
INDEPENDENCE HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F. BLACKBURN PH.D. (MANAGING PARTNER)
(919) 830-5749
Entity
Organization
Contact information
Practice address
3722 BENSON DR STE 101, RALEIGH, NC 27609-7321
(919) 930-5749
(919) 882-1277
Mailing address
3722 BENSON DR STE 101, RALEIGH, NC 27609-7321
(919) 930-5749
(919) 882-1277
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NC
251S00000X
Community/Behavioral Health Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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