Carolina Performance Services, PA
Clinic/Center, Adult Mental Health in Raleigh, NC. Organization (NPI-2).
NPI number1285305367
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1285305367
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Performance Services, PA
- Organization subpart
- No
- Enumeration date
- Sep 28, 2021
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Other names
- Carolina Performance (Doing Business As)
Practice location
8300 Health Park Ste 201Raleigh, NC 27615-4731
Phone 919-676-9699 · Fax 919-551-7477
Mailing address
8300 Health Park Ste 201Raleigh, NC 27615-4731
Phone 919-676-9699 · Fax 919-551-7477
Authorized official
Eric D Morse
Owner
9196769699
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