<Unavail>

LBN: Creech Road Supervised Gare
<Unavail> is an health care organization with primary practice located at 311 New Bern Ave # 27991, Raleigh NC 27611-0801. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Creech Road Supervised Gare can be contacted via phone (919) 961-1392, or through Wilson, Ezekiel via phone (919) 961-1392.

Contact Information

Primary practice address
311 New Bern Ave # 27991 Raleigh NC 27611-0801
Phone: (919) 961-1392
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Ezekiel
Phone: (919) 961-1392

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHL 092761 North Carolina

Profile Details

NPI number 1689918641
LBN Legal business name Creech Road Supervised Gare
DBA Doing business as <Unavail>
Authorized official Wilson, Ezekiel
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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