Organization
COTTAGE HEALTH CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OBIORAH ANACHUNA (CEO)
(919) 872-1441
Entity
Organization
Contact information
Practice address
3826 BLAND RD STE 200, RALEIGH, NC 27609-6239
(919) 872-1441
(919) 872-1455
Mailing address
3826 BLAND RD, RALEIGH, NC 27609-6239
(919) 872-1441
(919) 872-1455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
MHI-092-777
NC
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
261QA0600X
Adult Day Care Clinic/Center
MHI-092-777
NC
261QD1600X
Developmental Disabilities Clinic/Center
MHI-092-777
NC
261QM0850X
Adult Mental Health Clinic/Center
MHI-092-777
NC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
MHI-092-777
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103TC1900X
—
NC
05
—
103TC2200X
—
NC
05
—
193200000X
—
NC
Enumeration date
06/17/2010
Last updated
11/19/2021
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