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Organization

COUNTY OF WAKE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER J MORRIS MD (MEDICAL DIRECTOR)
(919) 250-3813
Entity
Organization

Contact information

Practice address
3000 FALSTAFF RD, SA-WORK FIRST, RALEIGH, NC 27610-1813
(919) 250-3184
(919) 250-3943
Mailing address
PO BOX 14169, RALEIGH, NC 27620-4169
(919) 250-3184
(919) 250-3943

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3404931
NC
Enumeration date
01/07/2008
Last updated
01/07/2008
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