North State Consortium for Psychosocial Wellness
NPI #1467439661 in Carrboro, North Carolina
Provider Information
- NPI Number
- 1467439661
- Entity Type
- Organization
- Organization Name
- North State Consortium for Psychosocial Wellness
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Dec 28, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 104 JONES FERRY RD
- Address 2
- UNIT J
- City
- Carrboro
- State
- North Carolina
- ZIP Code
- 27510-2036
- Phone
- (919) 942-0858
Authorized Official
- Name
- MR. GLEN TIG, MA
- Title
- DIRECTOR
- Phone
- (919) 924-0858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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