Organization
CARDINAL DIRECTIONS BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY WAMSLEY MS, PHD-ABD, LCASA (EXECUTIVE DIRECTOR)
(919) 917-0609
Entity
Organization
Contact information
Practice address
1300 TRIBUTE CENTER DR, SUITE 135, RALEIGH, NC 27612-3214
(919) 917-3488
Mailing address
1300 TRIBUTE CENTER DR, SUITE 135, RALEIGH, NC 27612-3214
(919) 917-3488
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCAS-3115
NC
305S00000X
Point of Service
1043564271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043564271
—
NC
Enumeration date
10/09/2015
Last updated
03/30/2017
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