NPI 1013465269

Marriageforkeeps Wellness Center LLC

Organisation Exclusive Provider Organization Wake Forest, NC

Practice location

Address: 9600 Broad Brush Ave, Wake Forest, NC 27587-0004
Phone: (908) 705-6822

Authorised official

Name: William E Campbell
Title: President/Ceo
Phone: (908) 705-6822

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 37FI00176300 (NJ)

Other Exclusive Provider Organization providers in North Carolina →

Registry record

NPI: 1013465269
Entity type: Organization
NPI issued: 16 Sep 2016
Record last updated: 16 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.