Organization
MQA SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE LEVINE (EXECUTIVE DIRECTOR)
(919) 637-7567
Entity
Organization
Contact information
Practice address
812 NEW BERN AVE, RALEIGH, NC 27601-1602
(919) 833-7310
Mailing address
812 NEW BERN AVE, RALEIGH, NC 27601-1602
(919) 833-7310
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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