| North Carolina Elderly Psychiatric | |
|
606 Wade Ave Raleigh NC 27605-1390 | |
| (919) 443-2360 | |
| (919) 800-3039 |
| Full Name | North Carolina Elderly Psychiatric |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 606 Wade Ave, Raleigh, North Carolina |
| Authorized Official Name and Position | Stephen B Mangano (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9194432360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Carolina Elderly Psychiatric 606 Wade Ave Raleigh NC 27605-1390 Ph: (919) 443-2360 | North Carolina Elderly Psychiatric 606 Wade Ave Raleigh NC 27605-1390 Ph: (919) 443-2360 |
| NPI Number | 1548535107 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 04/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548535107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
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