| Wchs Mhddsa Md Group | |
|
3000 Falstaff Rd Raleigh NC 27610-1813 | |
| (919) 212-7000 | |
| (919) 250-3943 |
| Full Name | Wchs Mhddsa Md Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3000 Falstaff Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Peter J Morris (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9192127000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wchs Mhddsa Md Group Po Box 14169 Raleigh NC 27620-4169 Ph: (919) 212-7000 | Wchs Mhddsa Md Group 3000 Falstaff Rd Raleigh NC 27610-1813 Ph: (919) 212-7000 |
| NPI Number | 1245355965 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245355965 | NPI | - | NPPES |
| 5901905 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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