Annie's House, LLC
NPI #1275164196 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1275164196
- Entity Type
- Organization
- Organization Name
- Annie's House, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 29, 2020
- Last Updated
- Jan 29, 2020
Practice Location
- Address
- 1784 HERITAGE CENTER DR STE 204-H
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-3989
- Phone
- (919) 426-2146
Authorized Official
- Name
- MR. ORLANDER A. BULLOCK
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (919) 426-2146
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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