| Perkins Php | |
|
203 Capcom Ave Ste 104 Wake Forest NC 27587-6514 | |
| (919) 276-4804 | |
| Not Available |
| Full Name | Perkins Php |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 203 Capcom Ave Ste 104, Wake Forest, North Carolina |
| Authorized Official Name and Position | Shantel Sullivan (CEO) |
| Authorized Official Contact | 9192764804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perkins Php 203 Capcom Ave Ste 104 Wake Forest NC 27587-6514 Ph: (919) 276-4804 | Perkins Php 203 Capcom Ave Ste 104 Wake Forest NC 27587-6514 Ph: (919) 276-4804 |
| NPI Number | 1427612894 |
|---|---|
| Provider Enumeration Date | 04/30/2019 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427612894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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