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Organization

CAROLINA PARTNERS IN MENTAL

Active
Parent organization
MEDVANTX, INC.
Other names
Carolina Partners of Cary
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDVANTX, INC.
Authorized official
JASMINE SPAULDING (PAYOR RELATIONS SUPERVISOR)
(916) 567-7893
Entity
Organization

Contact information

Practice address
790 SE CARY PKWY, CARY, NC 27511-5678
(919) 929-9610
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary
332900000X
Non-Pharmacy Dispensing Site
200101261
NC

Other

Enumeration date
05/20/2014
Last updated
03/08/2024
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