Organization
WESTERN WAKE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY LAMONT GUNN (REGIONAL DIRECTOR)
(919) 629-4360
Entity
Organization
Contact information
Practice address
2172 N. SALEM STREET, SUITE 105, APEX, NC 27523
(919) 629-4360
(919) 629-4362
Mailing address
2172 N SALEM ST STE 105, APEX, NC 27523-6457
(919) 629-4360
(919) 629-4362
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
092918
NC
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
092918
NC
Other
Enumeration date
06/08/2017
Last updated
02/09/2026
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