| Cardinal Directions Behavioral Healthcare | |
|
1300 Tribute Center Dr Suite 135 Raleigh NC 27612-3214 | |
| (919) 917-3488 | |
| Not Available |
| Full Name | Cardinal Directions Behavioral Healthcare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1300 Tribute Center Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Danny Wamsley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9199170609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Directions Behavioral Healthcare 1300 Tribute Center Dr Suite 135 Raleigh NC 27612-3214 Ph: (919) 917-3488 | Cardinal Directions Behavioral Healthcare 1300 Tribute Center Dr Suite 135 Raleigh NC 27612-3214 Ph: (919) 917-3488 |
| NPI Number | 1932570488 |
|---|---|
| Provider Enumeration Date | 10/09/2015 |
| Last Update Date | 03/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932570488 | NPI | - | NPPES |
| 1043564271 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCAS-3115 (North Carolina) | Primary |
| 305S00000X | Point Of Service | 1043564271 (North Carolina) | Secondary |
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