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ROJ MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES

Managed Care Organizations Preferred Provider Organization

Provider NPI: 1164779468

Organization Information:
Organization Name:  ROJ MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
Organization is not Subpart
Authorized Official:  JENNIFER  WILSON  THERAPIST  919-395-5998

Practice Location:
312 W MILLBROOK RD  RALEIGH, NC 27609-4389 US
Tel: 919-926-7503  Fax: --

Business Mailing Address:
312 W MILLBROOK RD  RALEIGH, NC 27609-4389 US
Tel: --  Fax: --

NPI Information:
NPI: 1164779468
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y305R00000XManaged Care Organizations
Preferred Provider Organization
NC

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 305R00000X

Type:

Classification:



Definition:



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