Organization
ONTRACK RESIDENTIAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES ADAMS (ADMINISTRATOR)
(919) 779-5039
Entity
Organization
Contact information
Practice address
9221 TEN TEN ROAD, RALEIGH, NC 27603-9023
(919) 779-5039
(919) 773-4488
Mailing address
9221 TEN TEN ROAD, RALEIGH, NC 27603-9023
(919) 779-5039
(919) 773-4488
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
7802754
NC
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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