Organization
SALT CASTLE LAKE
Active
Other names
RHD
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FISHMAN (CEO)
(215) 951-0300
Entity
Organization
Contact information
Practice address
7904 CASTLELAKE CT, RALEIGH, NC 27615-4908
(919) 326-2658
Mailing address
7904 CASTLELAKE CT, RALEIGH, NC 27615-4908
(919) 326-2658
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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