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Organization

WAKE BEHAVIORAL & HUMAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHARLMAYNE SEABERRY ALSTON (EXECUTIVE DIRECTOR)
(919) 798-8638
Entity
Organization

Contact information

Practice address
6701 LITCHFORD RD, RALEIGH, NC 27615-7112
(919) 798-8638
(919) 266-1347
Mailing address
PO BOX 41452, RALEIGH, NC 27629-1452
(919) 798-8638
(919) 266-1347

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL092633
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NC00
NC
Enumeration date
03/14/2008
Last updated
03/14/2008
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