Organization · NPI-2

A United Community, LLC

Community/Behavioral Health · Raleigh, NC

NPI number1578682191
StatusActive
Last updated in NPPESApr 4, 2014

Details

NPI
1578682191
Entity type
Organization (NPI-2)
Legal business name
A United Community, LLC
Organization subpart
No
Enumeration date
Mar 28, 2007
Last updated
Apr 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251B00000X Case Management––
253Z00000X In Home Supportive Care––
251E00000X Home Health––
103TB0200X Psychologist, Cognitive & Behavioral––
103TP0016X Psychologist, Prescribing (Medical)––
363AM0700X Physician Assistant, Medical––

Other names

  • United Community Partners, LLC (Former Legal Business Name)

Practice location

4020 Wake Forest Rd
Suite 301
Raleigh, NC 27609-6866

Phone 919-878-1590 · Fax 919-878-1593

Mailing address

4020 Wake Forest Rd
Suite 301
Raleigh, NC 27609-6866

Phone 919-818-1590 · Fax 919-878-1593

Authorized official

Lisa Bradley
Executive Director
9198781590

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