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State Of Nc Division Of Health Services
Developmental Disabilities Clinic/Center in Fayetteville, North Carolina
NPI 1841414257

State Of Nc Division Of Health Services is a Developmental Disabilities Clinic/Center based in Raleigh, NC and is specialized in Developmental Disabilities. State Of Nc Division Of Health Services practices in Fayetteville, NC. The NPI Number for State Of Nc Division Of Health Services is 1841414257 and holds a License No. (North Carolina).

The current practice location address for State Of Nc Division Of Health Services is 1211A Ireland Dr, Fayetteville, NC and can be reached out via phone at 919-486-1605 and via fax at 919-486-1590.

Location: 1211A Ireland Dr, Fayetteville, NC, 27699-1916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841414257
Provider Name
State Of Nc Division Of Health Services
Credential
Provider Entity Type
Organization
Address
1211A Ireland Dr, Fayetteville, NC, 27699-1916
Phone Number
919-486-1605
Fax Number
919-486-1590
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3403412 05 NC
13409 01 NC BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1211A Ireland Dr
City
Fayetteville
State
North Carolina
Zip
28304-3372
Phone Number
919-486-1605
Fax Number
919-486-1590
person
Provider Business Mailing Address Details
Address
1211A Ireland Dr
City
Fayetteville
State
North Carolina
Zip
28304-3372
Phone Number
919-486-1605
Fax Number
919-486-1590
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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