Provider Demographics
NPI:1689044638
Name:LEE, APRIL CAMPBELL (RCP, ADMINISTRATOR)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:CAMPBELL
Last Name:LEE
Suffix:
Gender:F
Credentials:RCP, ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3204 HUNTLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-3310
Mailing Address - Country:US
Mailing Address - Phone:919-239-0865
Mailing Address - Fax:
Practice Address - Street 1:3204 HUNTLEIGH DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-3310
Practice Address - Country:US
Practice Address - Phone:919-239-0865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-03
Last Update Date:2015-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities