Provider Demographics
NPI:1073934501
Name:ABSOLUTE CARE SERVICES OF WAKE COUNTY, INC.
Entity Type:Organization
Organization Name:ABSOLUTE CARE SERVICES OF WAKE COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICOT
Authorized Official - Middle Name:
Authorized Official - Last Name:RIPHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-673-3838
Mailing Address - Street 1:5127 WETLANDS DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1564
Mailing Address - Country:US
Mailing Address - Phone:919-673-3838
Mailing Address - Fax:
Practice Address - Street 1:5127 WETLANDS DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1564
Practice Address - Country:US
Practice Address - Phone:919-673-3838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty