Provider Demographics
NPI:1619153954
Name:Q-1CLINICAL CONSULTANTS
Entity Type:Organization
Organization Name:Q-1CLINICAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MATISHA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:919-303-5377
Mailing Address - Street 1:1011 W WILLIAMS ST STE 102
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-3979
Mailing Address - Country:US
Mailing Address - Phone:919-212-3900
Mailing Address - Fax:919-303-5380
Practice Address - Street 1:1221 CORPORATION PKWY, STE 109
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1364
Practice Address - Country:US
Practice Address - Phone:919-212-3900
Practice Address - Fax:919-212-3999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities