| Wchs - Southern Regional Center | |
|
130 N Judd Pkwy Ne Fuquay Varina NC 27526-2367 | |
| (919) 212-7000 | |
| (919) 250-3943 |
| Full Name | Wchs - Southern Regional Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 130 N Judd Pkwy Ne, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Peter J Morris (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9192503813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wchs - Southern Regional Center Po Box 14169 Raleigh NC 27620-4169 Ph: (919) 212-7000 | Wchs - Southern Regional Center 130 N Judd Pkwy Ne Fuquay Varina NC 27526-2367 Ph: (919) 212-7000 |
| NPI Number | 1326162405 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326162405 | NPI | - | NPPES |
| 8301397 | Medicaid | NC | |
| 8301397G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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