MEDICARE: ULTIMATE TURNAROUND SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1134486210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULTIMATE TURNAROUND SERVICES INC

Provider Business Mailing Address
First Line	:	6008 DONNYBROOK RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-9771
Country	:	US
Telephone Number	:	919-909-6540
Fax Number	:

Provider Business Practice Location Address
First Line	:	6008 DONNYBROOK RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-9771
Country	:	US
Telephone Number	:	919-909-6540
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. RACHEL MARTIN
Credential	:
Telephone Number	:	919-909-6540

Provider Enumeration Date	:	04/13/2012
Last Update Date	:	04/13/2012

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