Organization
HUMAN SERVICE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH MARIE DETWEILER MSW,LCSW,LCAS (OWNER,THERAPIST,ADDICTION COUNSELOR)
(919) 622-5776
Entity
Organization
Contact information
Practice address
833 WAKE FOREST BUSINESS PARK STE E, SUITE E, WAKE FOREST, NC 27587-7184
(919) 622-5776
(480) 393-5874
Mailing address
833 WAKE FOREST BUSINESS PARK STE E, SUITE E, WAKE FOREST, NC 27587-7184
(919) 622-5776
(480) 393-5874
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C006918
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2853747
—
NC
Enumeration date
08/25/2014
Last updated
08/25/2014
Update your record
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