Jspetersonyouthllc
Jspetersonyouthllc is a Community/Behavioral Health Agency in Raleigh, North Carolina. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2138 Blackwolf Run LnRaleigh, NC 27604-5411
Phone: (916) 627-5859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1568249001 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Peterson — Special Instruction · (916) 627-5859 |
| NPI enumerated | September 8, 2023 |
| Last updated in NPPES | September 8, 2023 |
| Certification date | September 8, 2023 |
| Mailing address | 2138 Blackwolf Run Ln, Raleigh, NC 27604-5411 |
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