Organization
Q1 CLINICAL CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MATISHA MAE HAMILTON BA (CEO)
(919) 303-5377
Entity
Organization
Contact information
Practice address
417 HUNTER LN, ZEBULON, ZEBULON, NC 27597-5107
(919) 303-5377
(919) 303-5380
Mailing address
1011 W WILLIAMS ST, STE 102, APEX, NC 27502-3979
(919) 303-5377
(919) 303-5380
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418501
—
NC
Enumeration date
09/16/2015
Last updated
09/16/2015
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