Organization
LIFE QUALITY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE PETERS (OFFICE ADMINISTRATOR)
(919) 423-0123
Entity
Organization
Contact information
Practice address
5613 DURALEIGH RD, SUITE 101, RALEIGH, NC 27612-2694
(919) 782-4597
(919) 784-0089
Mailing address
5613 DURALEIGH RD, SUITE 101, RALEIGH, NC 27612-2694
(919) 782-4597
(919) 784-0089
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
126683
NC
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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