Organization
FUNDAMENTAL HEALTH RESOURCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KWAME KAMALA WOODS BA CSAC-R QP (CEO)
(919) 539-6661
Entity
Organization
Contact information
Practice address
4816 LOGANSHIRE LN, RALEIGH, NC 27616-2974
(919) 539-6661
(000) 000-0000
Mailing address
PO BOX 28887, RALEIGH, NC 27611-8887
(919) 539-6661
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up