Organization · NPI-2

1st Opportunity Behavioral Health

Counselor, Mental Health · Raleigh, NC

NPI number1629341607
StatusActive
Last updated in NPPESFeb 3, 2014

Details

NPI
1629341607
Entity type
Organization (NPI-2)
Legal business name
1st Opportunity Behavioral Health
Organization subpart
No
Enumeration date
Feb 21, 2012
Last updated
Feb 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

2949 New Bern Ave
Suite 110-B
Raleigh, NC 27610-1248

Phone 919-345-6882 · Fax 919-900-7018

Mailing address

2712 Hope Diamond Ct
Raleigh, NC 27610-5996

Phone 919-345-6882

Authorized official

Ronnell Levon Mcgill
President
9193456882

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