El Sanctuary
NPI #1942596028 in Raleigh, North Carolina
Provider Information
- NPI Number
- 1942596028
- Entity Type
- Organization
- Organization Name
- El Sanctuary
- Primary Specialty
- Religious Nonmedical Practitioner
- Enumeration Date
- Jun 27, 2011
- Last Updated
- Jun 27, 2011
Practice Location
- Address
- 4501 NEW BERN AVE
- Address 2
- #130-196
- City
- Raleigh
- State
- North Carolina
- ZIP Code
- 27610-1549
- Phone
- (919) 351-9814
Authorized Official
- Name
- DR. QETSIYAH S YISRAEL, PHD
- Title
- DIRECTOR
- Phone
- (919) 351-9814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Religious Nonmedical Practitioner |
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