State of Nc Division of Health Services
State of Nc Division of Health Services provides Developmental Disabilities Clinic/Center services in Fayetteville, North Carolina. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1211A Ireland DrFayetteville, NC 28304-3372 Not confirmed with CMS for 14 years — call before visiting
Phone: (919) 486-1605
Fax: (919) 486-1590
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X |
|---|
Record details
| NPI number | 1841414257 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Deborah Carrolld — Early Intervention Branch Head · (919) 707-5520 |
| NPI enumerated | April 13, 2007 |
| Last updated in NPPES | April 27, 2012 |
| Mailing address | Dph- Early Intervention Br, 1916 Mail Service Center, Raleigh, NC 27699-1916 |
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