Collegial Behavioral Health, Pllc
NPI #1780191627 in Raleigh, North Carolina
Provider Information
- NPI Number
- 1780191627
- Entity Type
- Organization
- Organization Name
- Collegial Behavioral Health, Pllc
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jan 1, 2018
- Last Updated
- Oct 17, 2019
Practice Location
- Address
- 12740 SPRUCE TREE WAY STE 102
- City
- Raleigh
- State
- North Carolina
- ZIP Code
- 27614-8295
- Phone
- (919) 916-1160
Authorized Official
- Name
- MR. OWEN WANG
- Title
- OFFICE MANAGER
- Phone
- (626) 808-6428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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