Organization
INSTITUTE OF BEHAVIOR MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHESTER M WEST JR. (DIRECTOR)
(919) 395-7959
Entity
Organization
Contact information
Practice address
1065 BULLARD CT, RALEIGH, NC 27615-6801
(919) 307-8656
(919) 882-1298
Mailing address
1065 BULLARD CT, RALEIGH, NC 27615-6801
(919) 307-8656
(919) 882-1298
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6507
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103509
—
NC
Enumeration date
08/15/2016
Last updated
08/15/2016
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