OrganizationInstitute Of Behavior ManagementCommunity/Behavioral HealthAgenciesPractice Address1065 Bullard Ct, Raleigh, NC 27615-6801(919) 307-8656PECOS EnrollmentBased on the most recent information from CMS, provider Institute Of Behavior Management does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1235684663Provider TypeOrganizationFull NameInstitute Of Behavior ManagementSubpartNoEnumeration Date8/15/2016Last Updated8/15/2016Contact InformationPractice LocationPractice Address1065 Bullard Ct, Raleigh, NC 27615-6801Phone(919) 307-8656Fax(919) 882-1298Mailing LocationMailing Address1065 Bullard Ct, Raleigh, NC 27615-6801Phone(919) 307-8656Fax(919) 882-1298Authorized OfficialNameWest, Chester M (Director)Phone(919) 395-7959Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicense6507North CarolinaProvider IdentifiersIDDescriptionIssuerID6103509DescriptionMedicaidIssuerUnlistedNorth Carolina