Proactive Therapy Of North Carolina Inc

NPI Provider: 1689679433
Contact Name: Tarvin E. Michael
Position: Vice President
Phone: (717) 975-4503

Proactive Therapy Of North Carolina Inc Information:

Proactive Therapy Of North Carolina Inc organization have npi 1689679433, taxonomy code is 261QP2000X with license number is 1676 in . This Business address located in 4716 Old Gettysburg Road, Mechanicsburg, PA 17055 Pennsylvania.

Practice Location
Address: 3301 Benson Dr, Raleigh, NC 27609
Phone: (919) 872-8511

Business Location
Address: 4716 Old Gettysburg Road, Mechanicsburg, PA 17055
Phone: (717) 975-4503
Fax: (717) 975-9981

Taxonomy

Taxonomy Code: 261QP2000X

License Number: 1676

License Number of State: NC

Primary Taxonomy Switch: Y

Enumeration Date: 6/17/2005

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