Organization
BLUE TELEPSYCH URGENT CARE
Active
Other names
Blue PsychCare
Organization subpart
No
Provider details
NPI number
Authorized official
RAY JAZAYERI (PRESIDENT)
(910) 523-1825
Entity
Organization
Contact information
Practice address
8406 FIDDLESTICK WAY, WILMINGTON, NC 28412-3394
(910) 523-1825
Mailing address
8406 FIDDLESTICK WAY, WILMINGTON, NC 28412-3394
(910) 523-1825
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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