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Organization

ON TRACK BEHAVIORAL HEALTH INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLMAYNE SEABERRY ALSTON (EXECUTIVE DIRECTOR)
(919) 798-8638
Entity
Organization

Contact information

Practice address
6701 LITCHFORD RD, RALEIGH, NC 27615-7112
(919) 798-8638
Mailing address
6701 LITCHFORD RD, RALEIGH, NC 27615-7112
(919) 798-8638

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL035049
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MHL035049
NC
Enumeration date
04/22/2008
Last updated
04/22/2008
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