Basic Information
| Provider Information | |||||||||
| NPI: | 1881805323 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RALM, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1721 | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283021721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9104864491 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4620 MURCHISON RD | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283112304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9104864491 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HEDGEPETH | ||||||||
| AuthorizedOfficialFirstName: | LEONARD | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 9104864491 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.