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Mr. James Jerry Peterson III, BA
Community/Behavioral Health Agency in Raleigh, North Carolina
NPI 1265958748

James Jerry Peterson III is a Community/Behavioral Health Agency based in Raleigh, NC. James Jerry Peterson III practices in Raleigh, NC and has the professional credentials of BA. The NPI Number for James Jerry Peterson III is 1265958748 and holds a License No. (North Carolina).

The current practice location address for James Jerry Peterson III is 2138 Blackwolf Run Ln, Raleigh, NC and can be reached out via phone at 916-627-5859.

Location: 2138 Blackwolf Run Ln, Raleigh, NC, 27604-5411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265958748
Provider Name
James Jerry Peterson III
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
2138 Blackwolf Run Ln, Raleigh, NC, 27604-5411
Phone Number
916-627-5859
Fax Number
Provider Enumeration Date
08/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2138 Blackwolf Run Ln
City
Raleigh
State
North Carolina
Zip
27604-5411
Phone Number
916-627-5859
Fax Number
person
Provider Business Mailing Address Details
Address
2138 Blackwolf Run Ln
City
Raleigh
State
North Carolina
Zip
27604-5411
Phone Number
916-627-5859
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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