Adolescent,child & Adult Psychiatry
Clinic/Center, Adolescent and Children Mental Health in Raleigh, NC. Organization (NPI-2).
NPI number1457519514
StatusActive
Last updated in NPPESMay 27, 2008
Details
- NPI
- 1457519514
- Entity type
- Organization (NPI-2)
- Legal business name
- Adolescent,child & Adult Psychiatry
- Organization subpart
- No
- Enumeration date
- May 27, 2008
- Last updated
- May 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | 28114 | NC | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | 28114 | NC |
Practice location
4041 Ed Dr # 108Raleigh, NC 27612-8089
Phone 919-783-8377 · Fax 866-347-8377
Mailing address
4041 Ed Dr # 108Raleigh, NC 27612-8089
Phone 919-783-8377 · Fax 866-347-8377
Authorized official
Shaheda Fatima Maroof
Psychiatrist
9197838377
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