| Systemic Health Resources, Inc. | |
|
1100 Logger Ct G-103 Raleigh NC 27609-8525 | |
| (800) 755-6309 | |
| (800) 755-6309 |
| Full Name | Systemic Health Resources, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1100 Logger Ct, Raleigh, North Carolina |
| Authorized Official Name and Position | Chad Jordan (PRESIDENT) |
| Authorized Official Contact | 8007556309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Systemic Health Resources, Inc. Po Box 99281 Raleigh NC 27624-9281 Ph: (800) 755-6309 | Systemic Health Resources, Inc. 1100 Logger Ct G-103 Raleigh NC 27609-8525 Ph: (800) 755-6309 |
| NPI Number | 1861522138 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 06/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861522138 | NPI | - | NPPES |
| 017UG | Other | NC | BCBS GROUP |
| 6006120 | Medicaid | NC | |
| 6006121 | Medicaid | NC | |
| 406952 | Other | NC | MHN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1092 (North Carolina) | Primary |
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