Organization
ACHIEVABLE THERAPEUTIC INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL POWELL PEEBLES JR. (EXECUTIVE DIRECTOR)
(919) 412-7502
Entity
Organization
Contact information
Practice address
5421 OLD POOLE RD STE 107, RALEIGH, NC 27610-3285
(919) 231-2261
(919) 231-2219
Mailing address
109 SMART CT, CLAYTON, NC 27520-1849
(919) 412-7502
(919) 231-2219
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NC
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006910
—
NC
Enumeration date
04/12/2007
Last updated
02/02/2012
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