Organization
COUNTY OF WAKE
Active
Other names
WAKE COUNTY HUMAN SERVICES (MH DD SA)
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE O WILKERSON (CLIENT ACCOUNTING MANAGER)
(919) 212-7817
Entity
Organization
Contact information
Practice address
3000 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 250-3100
(919) 250-3194
Mailing address
PO BOX 14169, RALEIGH, NC 27620-4169
(919) 250-3184
(919) 250-3943
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NC
251S00000X
Community/Behavioral Health Agency
—
NC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901905
—
NC
05
—
6005555
—
NC
05
—
7907609
—
NC
Enumeration date
06/25/2006
Last updated
06/18/2010
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