| Unc Health Care Alcohol And Drug Detoxification At Wakebrook | |
|
107 Sunnybrook Rd Suite B Raleigh NC 27610-1827 | |
| (984) 974-4850 | |
| (984) 974-4917 |
| Full Name | Unc Health Care Alcohol And Drug Detoxification At Wakebrook |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 107 Sunnybrook Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Janet Teresa Hadar (PRESIDENT, UNC HOSPITALS) |
| Authorized Official Contact | 9849742819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unc Health Care Alcohol And Drug Detoxification At Wakebrook 107 Sunnybrook Rd Suite B Raleigh NC 27610-1827 Ph: (984) 974-4850 | Unc Health Care Alcohol And Drug Detoxification At Wakebrook 107 Sunnybrook Rd Suite B Raleigh NC 27610-1827 Ph: (984) 974-4850 |
| NPI Number | 1952749475 |
|---|---|
| Provider Enumeration Date | 06/06/2013 |
| Last Update Date | 02/10/2020 |
| Certification Date | 02/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952749475 | NPI | - | NPPES |
| 1952749475 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-092-867 (North Carolina) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | MHL-092-867 (North Carolina) | Primary |
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