Provider Demographics
NPI:1972828390
Name:RURAL URBAN DEVELOPMENTAL EMPOWERMENT SERVICES INC.
Entity Type:Organization
Organization Name:RURAL URBAN DEVELOPMENTAL EMPOWERMENT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:F
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-455-8494
Mailing Address - Street 1:4421 CROWFIELD DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-5337
Mailing Address - Country:US
Mailing Address - Phone:919-455-8494
Mailing Address - Fax:
Practice Address - Street 1:4421 CROWFIELD DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-5337
Practice Address - Country:US
Practice Address - Phone:919-455-8494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health