Organization
P&G COMMUNITY SUPPORT TEAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NNENNA M WOBO D:O (DIRECTOR)
(919) 637-9091
Entity
Organization
Contact information
Practice address
4406 WAKE FOREST RD, SUITE210, RALEIGH, NC 27609-2527
(919) 637-9091
Mailing address
4406 WAKE FOREST RD, SUITE210, RALEIGH, NC 27609-2527
(919) 637-9091
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/30/2009
Last updated
01/13/2011
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