Organization
Q-1CLINICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MATISHA MAE HAMILTON BA (OWNER)
(919) 303-5377
Entity
Organization
Contact information
Practice address
1221 CORPORATION PKWY, STE 109, RALEIGH, NC 27610-1364
(919) 212-3900
(919) 212-3999
Mailing address
1011 W WILLIAMS ST STE 102, APEX, NC 27502-3979
(919) 212-3900
(919) 303-5380
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
04/08/2013
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