Organization
BERT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY MARKS (EXECUTIVE DIRECTOR)
(919) 632-6283
Entity
Organization
Contact information
Practice address
211 W MARTIN ST, SUITE 110, RALEIGH, NC 27601-1323
(919) 632-6283
Mailing address
PO BOX 41574, RALEIGH, NC 27629-1574
(919) 632-6283
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700408
—
NC
Enumeration date
12/29/2006
Last updated
06/18/2008
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