Provider Demographics
NPI:1235670043
Name:MURDOCH DEVELOPMENTAL CENTER CHILDREN'S ASSESSMENT CLINIC
Entity Type:Organization
Organization Name:MURDOCH DEVELOPMENTAL CENTER CHILDREN'S ASSESSMENT CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY SEC. FBBHDD SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:FASCHE
Authorized Official - Phone:919-855-4700
Mailing Address - Street 1:PO BOX 3000
Mailing Address - Street 2:
Mailing Address - City:BUTNER
Mailing Address - State:NC
Mailing Address - Zip Code:27509-3000
Mailing Address - Country:US
Mailing Address - Phone:919-575-1000
Mailing Address - Fax:919-575-1007
Practice Address - Street 1:1600 EAST C. STREET
Practice Address - Street 2:
Practice Address - City:BUTNER
Practice Address - State:NC
Practice Address - Zip Code:27509-2530
Practice Address - Country:US
Practice Address - Phone:919-575-1000
Practice Address - Fax:919-575-1007
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MURDOCH DEVELOPMENTAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-13
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center