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Organization

BRANFORD TRANSQUILITY HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY M FORD (SECRETARY TREASURER/ADMINISTRATOR)
(919) 637-5963
Entity
Organization

Contact information

Practice address
721 VAN THOMAS DR, RALEIGH, NC 27615-5242
(919) 637-5963
Mailing address
7820 HARBOR DR, RALEIGH, NC 27615-4515
(919) 637-5963

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
12/27/2008
Last updated
12/27/2008
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