| Johnson Behavioral Health Services Inc. | |
|
4611 Western Blvd Raleigh NC 27606-1815 | |
| (919) 851-4343 | |
| (919) 851-4345 |
| Full Name | Johnson Behavioral Health Services Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4611 Western Blvd, Raleigh, North Carolina |
| Authorized Official Name and Position | Renee Johnson (CEO / PROGRAM DIRECTOR) |
| Authorized Official Contact | 9198893967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Behavioral Health Services Inc. 4611 Western Blvd Raleigh NC 27606-1815 Ph: (919) 851-4343 | Johnson Behavioral Health Services Inc. 4611 Western Blvd Raleigh NC 27606-1815 Ph: (919) 851-4343 |
| NPI Number | 1902192834 |
|---|---|
| Provider Enumeration Date | 06/20/2011 |
| Last Update Date | 06/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902192834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (North Carolina) | Primary |
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