Healthcare Provider Details

I. General information

NPI: 1285305367
Provider Name (Legal Business Name): CAROLINA PERFORMANCE SERVICES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2021
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 HEALTH PARK STE 201
RALEIGH NC
27615-4731
US

IV. Provider business mailing address

8300 HEALTH PARK STE 201
RALEIGH NC
27615-4731
US

V. Phone/Fax

Practice location:
  • Phone: 919-676-9699
  • Fax: 919-551-7477
Mailing address:
  • Phone: 919-676-9699
  • Fax: 919-551-7477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC D MORSE
Title or Position: OWNER
Credential: MD
Phone: 919-676-9699