Full Name | Heaven Sent |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 3112 Berry Court., Raleigh, North Carolina |
Authorized Official Name and Position | Termaine Albertina Blount (OWNER/DIRECTOR) |
Authorized Official Contact | 9192474760 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Heaven Sent P.o Box 464 Wendell NC 27610 Ph: (919) 900-8263 | Heaven Sent 3112 Berry Court. Raleigh NC 27610 Ph: (919) 900-8263 |
NPI Number | 1013243583 |
---|---|
Provider Enumeration Date | 10/19/2009 |
Last Update Date | 10/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013243583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 261QM0850 (North Carolina) | Primary |
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