Healthcare Provider Details
I. General information
NPI: 1396811618
Provider Name (Legal Business Name): THE ARC OF NORTH CAROLINA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/28/2006
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
353 E. SIX FORKS ROAD SUITE 300
RALEIGH NC
27609-7887
US
IV. Provider business mailing address
353 E SIX FORKS RD STE 300
RALEIGH NC
27609-7887
US
V. Phone/Fax
- Phone: 919-782-4632
- Fax:
- Phone: 919-782-4632
- Fax: 919-782-4634
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LISA
POTEAT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 919-782-4632