Perkins Partial Hospital Program, Pllc
NPI #1427612894 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1427612894
- Entity Type
- Organization
- Organization Name
- Perkins Partial Hospital Program, Pllc
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Apr 30, 2019
- Last Updated
- Jun 11, 2024
Practice Location
- Address
- 203 CAPCOM AVE STE 104
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-6514
- Phone
- (919) 276-4804
Authorized Official
- Name
- DR. SHANTEL SULLIVAN
- Title
- CEO
- Phone
- (919) 276-4804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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