NPI 1497991285

Branford Transquility House

Organisation Preferred Provider Organization Raleigh, NC

Practice location

Address: 721 van Thomas Dr, Raleigh, NC 27615-5242
Phone: (919) 637-5963
Mailing address: 7820 Harbor Dr, Raleigh, NC 27615-4515

Authorised official

Name: Beverly M Ford
Title: Secretary Treasurer/Administrator
Phone: (919) 637-5963

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in North Carolina →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in North Carolina →

Registry record

NPI: 1497991285
Entity type: Organization
NPI issued: 27 Dec 2008
Record last updated: 27 Dec 2008

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.