Organization
HELMS COTTAGE 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS A HELMS (ADMINISTRATOR)
(919) 851-6317
Entity
Organization
Contact information
Practice address
5505 WESTERN BLVD, RALEIGH, NC 27606-1517
(919) 851-6317
(919) 465-3872
Mailing address
5505 WESTERN BLVD, RALEIGH, NC 27606-1517
(919) 851-6317
(919) 465-3872
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-092-324
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802145
—
NC
05
—
7803143
—
NC
05
—
7803748
—
NC
05
—
7805996
—
NC
Enumeration date
06/08/2009
Last updated
06/08/2009
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