Organization
NC RECOVERY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA DOWNING BAIN LCAS (OWNER)
(919) 320-4981
Entity
Organization
Contact information
Practice address
1100 NAVAHO DR, SUITE 125, RALEIGH, NC 27609-7319
(919) 431-9874
Mailing address
1100 NAVAHO DR, SUITE 125, RALEIGH, NC 27609-7319
(919) 431-9874
(919) 550-9438
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NC
251B00000X
Case Management Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
779
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6110542
—
NC
05
—
6111830
—
NC
05
—
8916145
—
NC
Enumeration date
11/16/2006
Last updated
02/02/2011
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