| Western Wake Treatment Center | |
|
2172 N. Salem Street Suite 105 Apex NC 27523 | |
| (919) 629-4360 | |
| (919) 629-4362 |
| Full Name | Western Wake Treatment Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2172 N. Salem Street, Apex, North Carolina |
| Authorized Official Name and Position | Timothy Lamont Gunn (REGIONAL DIRECTOR) |
| Authorized Official Contact | 9196294360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Wake Treatment Center 2172 N Salem St Ste 105 Apex NC 27523-6457 Ph: (919) 629-4360 | Western Wake Treatment Center 2172 N. Salem Street Suite 105 Apex NC 27523 Ph: (919) 629-4360 |
| NPI Number | 1205365574 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 02/09/2026 |
| Certification Date | 02/09/2026 |
| Medicare PECOS PAC ID | 4981032216 |
|---|---|
| Medicare Enrollment ID | O20200319000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205365574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 092918 (North Carolina) | Primary |
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