Organization
NC RECOVERY SUPPORT SERVICES
Active
Organization
NC RECOVERY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL GLENN (DIRECTOR)
(919) 889-2663
Entity
Organization
Contact information
Practice address
309 W MILLBROOK RD, SUITE 161, RALEIGH, NC 27609-4385
(919) 889-2663
(919) 882-1277
Mailing address
309 W MILLBROOK RD, SUITE 161, RALEIGH, NC 27609-4385
(919) 889-2663
(919) 882-1277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/16/2013
Last updated
04/17/2013
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