Organization
DOROTHEA DIX HOSPITAL
Active
Other names
Central Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J. LUCKEY WELSH JR. FACHE (DIRECTOR -DSOHF)
(919) 855-4700
Entity
Organization
Contact information
Practice address
820 S BOYLAN AVE, RALEIGH, NC 27603-2246
(919) 733-5540
(919) 733-0743
Mailing address
820 S BOYLAN AVE, 3601 MAIL SERVICE CENTER, RALEIGH, NC 27603-2246
(919) 733-5540
(919) 733-0743
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404001
—
NC
Enumeration date
02/02/2007
Last updated
08/18/2010
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