Organization
A UNITED COMMUNITY, LLC
Active
Other names
United Community Partners, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BRADLEY (EXECUTIVE DIRECTOR)
(919) 878-1590
Entity
Organization
Contact information
Practice address
4020 WAKE FOREST RD, SUITE 301, RALEIGH, NC 27609-6866
(919) 878-1590
(919) 878-1593
Mailing address
4020 WAKE FOREST RD, SUITE 301, RALEIGH, NC 27609-6866
(919) 818-1590
(919) 878-1593
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
03/28/2007
Last updated
04/04/2014
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