Organization
HEALTHCORE RESOURCE, INC
Active
Other names
HealthCore Adolescent Residential Treatment I
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA NWAEZE (CEO)
(919) 872-1178
Entity
Organization
Contact information
Practice address
109 EVENING STAR DR, APEX, NC 27502-4029
(919) 303-5002
(919) 303-4071
Mailing address
1001 NAVAHO DR, SUITE 101, RALEIGH, NC 27609-7335
(919) 872-1178
(919) 872-1170
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-092-767
NC
Other
Enumeration date
06/21/2011
Last updated
01/09/2015
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