Organization
HOPE RESTORATIVE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA WILDER LCMHCA (OWNER)
(919) 438-2167
Entity
Organization
Contact information
Practice address
1756 HERITAGE DRIVE, SUITE 102, WAKE FOREST, NC 27587
(919) 438-2167
Mailing address
20 SUTHERLAND DR, FRANKLINTON, NC 27525-6614
(508) 762-8651
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285105114
—
NC
Enumeration date
04/30/2021
Last updated
04/30/2021
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