Organization
ESSENTIAL HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE L DEHAVEN (VP OF CLINICAL SERVICES)
(919) 926-3010
Entity
Organization
Contact information
Practice address
3750 NW CARY PKWY, SUITE 111, CARY, NC 27513-8432
(919) 926-3010
Mailing address
3750 NW CARY PKWY, SUITE 111, CARY, NC 27513-8432
(919) 926-3010
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
39104
NC
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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