OrganizationActive
North, Inc.
NPI 1366549636 · Developmental Disabilities Clinic/Center · Raleigh, NC
Provider details
- NPI number
- 1366549636
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Sullivan, Executive Director(919) 781-0661
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4505 Fair Meadows Ln
Suite 203
Raleigh, NC 27607-6465
Phone: (919) 781-0661
Fax: (919) 881-6580
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 445
Aberdeen, NC 28315-0445
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2009-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.