| Good Samaritan Counsel Pa | |
|
5974 Six Forks Rd Twin Forks Office Plaza Raleigh NC 27609-3896 | |
| (919) 358-8634 | |
| Not Available |
| Full Name | Good Samaritan Counsel Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5974 Six Forks Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Dionne D Harrison (VICE PRESIDENT) |
| Authorized Official Contact | 9193588634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Counsel Pa 11725 Broadfield Ct Raleigh NC 27617-4255 Ph: (919) 358-8634 | Good Samaritan Counsel Pa 5974 Six Forks Rd Twin Forks Office Plaza Raleigh NC 27609-3896 Ph: (919) 358-8634 |
| NPI Number | 1427246545 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 04/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427246545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | NC200501213 (North Carolina) | Primary |
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