NPI 1851774715

Video Therapy

Organisation Health Maintenance Organization Raleigh, NC

Practice location

Address: 4208 Six Forks Rd STE 1000, Raleigh, NC 27609-5738
Phone: (919) 758-4559
Fax: (919) 573-0442
Mailing address: 4749 Courtney Ln APT F, Raleigh, NC 27616-5250

Authorised official

Name: Sabriya Laila Sharif-Hanifa
Title: Ceo
Phone: (919) 758-4559

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 3175-A (NC)

Other Health Maintenance Organization providers in North Carolina →

Registry record

NPI: 1851774715
Entity type: Organization
NPI issued: 9 Jul 2015
Record last updated: 9 Jul 2015

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.