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Organization

CENTENNIAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PHYLLIS HELMS (DIRECTOR)
(919) 851-3715
Entity
Organization

Contact information

Practice address
3000 CENTENNIAL WOODS DR, UNIT 202-B, RALEIGH, NC 27603-6101
(919) 851-3715
Mailing address
502 CAROLINA AVE, RALEIGH, NC 27606-1604
(919) 851-3715
(919) 460-9448

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL092666
NC

Other

Enumeration date
11/20/2007
Last updated
11/20/2007
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