Organization
CAROLINA GERO-PSYCH MANAGEMENT, LLC
Active
Other names
Welcare Counseling Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE ROSS (PROVIDER ENROLLMENT SPECIALIST)
(919) 256-0824
Entity
Organization
Contact information
Practice address
2101 GATEWAY CENTRE BLVD, SUITE 100, MORRISVILLE, NC 27560-6214
(919) 467-2433
(919) 467-4903
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NC
2084P0800X
Psychiatry Physician
—
NC
Other
Enumeration date
09/02/2010
Last updated
10/08/2010
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