Organization
AWESOME CARE EVOLUTIONS CARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC LAMAR ELLIS (OWNER)
(919) 522-8655
Entity
Organization
Contact information
Practice address
6904 POOLE RD, RALEIGH, NC 27610-9378
(919) 217-5959
(919) 217-7679
Mailing address
6904 POOLE RD, RALEIGH, NC 27610-9378
(919) 217-5959
(919) 217-7679
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
26452362
NC
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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