| Heaven Sent | |
|
3112 Berry Court. Raleigh NC 27610 | |
| (919) 900-8263 | |
| (919) 900-8263 |
| 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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