Organization
CARDINAL DIRECTIONS BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY WAMSLEY LCAS-A, MS, APBS, NA (OWNER)
(919) 917-0609
Entity
Organization
Contact information
Practice address
2500 NASH ST N, WILSON, NC 27896-1394
(919) 917-3488
Mailing address
1300 TRIBUTE CENTER DR, RALEIGH, NC 27612-3214
(919) 917-0609
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
305S00000X
Point of Service
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043564271
—
NC
Enumeration date
09/22/2015
Last updated
02/16/2017
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