Q-1clinical Consultants

NPI 1619153954 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1619153954
Enumeration Date 01/17/2008
Last Updated 04/08/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MATISHA MAE MATISHA
Position OWNER
Phone (919) 212-3900
Fax (919) 212-3999
Practice Location
1221 CORPORATION PKWY, STE 109
RALEIGH NC, 27610-1364, US
Phone (919) 212-3900
Fax (919) 212-3999
Business Location
1011 W WILLIAMS ST STE 102
APEX NC, 27502-3979, US
Phone (919) 212-3900
Fax (919) 303-5380
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Q-1clinical Consultants NPI is 1619153954, taxonomy code is 320900000X Q-1clinical Consultants physically located at 1221 Corporation Pkwy, Ste 109, Raleigh NC, 27610-1364. NPI Number 1033115704 has the healthcare provider type.

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1619153954 NPI number is provided on an as is basis without warranty of any kind. 1619153954 is maintained by the National Plan & Provider Enumeration System. The contents of Q-1clinical Consultants are for informational purposes only.