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Organization

PHILIP HOUSE THERAPEUTIC SERVICES INC

Active
Other names
Philip House LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROSEMARY ANAYO NJOKU B.A., (CEO/ADMINISTRATIVE)
(919) 395-5227
Entity
Organization

Contact information

Practice address
310 WEST MILLBROOK ROAD SUITE 201, RALEIGH, NC 27609
(919) 676-5840
(919) 676-5839
Mailing address
5801 CHERRYRAIN CT, RALEIGH, NC 27610-5586
(919) 676-5840
(919) 676-5839

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
MHL 092-644
NC
251S00000X
Community/Behavioral Health Agency
MHL 092-644
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8302003
NC
Enumeration date
06/04/2007
Last updated
07/25/2008
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