Organization
PERKINS PARTIAL HOSPITAL PROGRAM, PLLC
Active
Other names
Perkins PHP, Bright Path Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTEL SULLIVAN (CEO)
(919) 276-4804
Entity
Organization
Contact information
Practice address
203 CAPCOM AVE STE 104, WAKE FOREST, NC 27587-6514
(919) 276-4804
Mailing address
203 CAPCOM AVE STE 104, WAKE FOREST, NC 27587-6514
(919) 276-4804
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
06/11/2024
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