| Wchs - Swinburne | |
|
220 Swinburne Rd Raleigh NC 27610-1834 | |
| (919) 212-7000 | |
| (919) 250-3943 |
| Full Name | Wchs - Swinburne |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 220 Swinburne Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Peter J Morris (MEDICALD DIRECTOR) |
| Authorized Official Contact | 9192503813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wchs - Swinburne Po Box 14169 Raleigh NC 27620-4169 Ph: (919) 212-7000 | Wchs - Swinburne 220 Swinburne Rd Raleigh NC 27610-1834 Ph: (919) 212-7000 |
| NPI Number | 1871617589 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871617589 | NPI | - | NPPES |
| 8301394G | Medicaid | NC | |
| 8301394B | Medicaid | NC | |
| 8301394 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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