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Adolescent,child & Adult Psychiatry
Adolescent and Children Mental Health Clinic/Center in Raleigh, North Carolina
NPI 1457519514

Adolescent,child & Adult Psychiatry is an Adolescent and Children Mental Health Clinic/Center based in Raleigh, NC and is specialized in Adolescent and Children Mental Health. Adolescent,child & Adult Psychiatry practices in Raleigh, NC. The NPI Number for Adolescent,child & Adult Psychiatry is 1457519514 and holds a License No. 28114 (North Carolina).

The current practice location address for Adolescent,child & Adult Psychiatry is 4041 Ed Dr # 108, Raleigh, NC and can be reached out via phone at 919-783-8377 and via fax at 866-347-8377.

Location: 4041 Ed Dr # 108, Raleigh, NC, 27612-8089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457519514
Provider Name
Adolescent,child & Adult Psychiatry
Credential
Provider Entity Type
Organization
Address
4041 Ed Dr # 108, Raleigh, NC, 27612-8089
Phone Number
919-783-8377
Fax Number
866-347-8377
Provider Enumeration Date
05/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12082 01 NC BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
8912082 05 NC
institution
Provider Business Practice Location Address Details
Address
4041 Ed Dr # 108
City
Raleigh
State
North Carolina
Zip
27612-8089
Phone Number
919-783-8377
Fax Number
866-347-8377
person
Provider Business Mailing Address Details
Address
4041 Ed Dr # 108
City
Raleigh
State
North Carolina
Zip
27612-8089
Phone Number
919-783-8377
Fax Number
866-347-8377
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
28114 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
28114 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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