Individual provider · Type 1 NPI

James Jerry Peterson Iii, BA.

Community/Behavioral Health Agency · Raleigh, NC

NPI number 1265958748 Active

Practice location

2138 Blackwolf Run Ln
Raleigh, NC 27604-5411

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1265958748

James Jerry Peterson Iii, BA.'s National Provider Identifier is 1265958748, issued on Aug 16, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Raleigh, NC. The record was last updated on Sep 18, 2023.