Organization
CENTURION ASM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIECY B DANIEL (CEO)
(919) 900-6550
Entity
Organization
Contact information
Practice address
723 W JOHNSON ST STE 201, RALEIGH, NC 27603-1244
(919) 900-6550
Mailing address
723 W JOHNSON ST STE 201, RALEIGH, NC 27603-1244
(919) 900-6550
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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