| Wakemed Outpatient Behavioral Health | |
|
23 Sunnybrook Rd Raleigh NC 27610-1855 | |
| (919) 350-7584 | |
| (919) 231-0314 |
| Full Name | Wakemed Outpatient Behavioral Health |
|---|---|
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 23 Sunnybrook Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Maria Jayoussi (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 9193506089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakemed Outpatient Behavioral Health Po Box 603949 Charlotte NC 28260-3949 Ph: (919) 350-0552 | Wakemed Outpatient Behavioral Health 23 Sunnybrook Rd Raleigh NC 27610-1855 Ph: (919) 350-7584 |
| NPI Number | 1245895697 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 07/01/2020 |
| Certification Date | 07/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245895697 | NPI | - | NPPES |
| 1245895697 | Medicaid | NC |
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