Organization
SYSTEMIC HEALTH RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD JORDAN (PRESIDENT)
(800) 755-6309
Entity
Organization
Contact information
Practice address
1100 LOGGER CT, G-103, RALEIGH, NC 27609-8525
(800) 755-6309
(800) 755-6309
Mailing address
PO BOX 99281, RALEIGH, NC 27624-9281
(800) 755-6309
(800) 755-6309
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017UG
BCBS GROUP
NC
01
—
406952
MHN
NC
05
—
6006120
—
NC
05
—
6006121
—
NC
Enumeration date
03/06/2007
Last updated
06/10/2009
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