Individual provider · Type 1 NPI

Kevin L. Deloach

Adolescent and Children Mental Health Clinic/Center · Fayetteville, NC

NPI number 1114159928 Active

Practice location

6111 Conaway Dr
Fayetteville, NC 28314-2700

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: 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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About NPI 1114159928

Kevin L. Deloach's National Provider Identifier is 1114159928, issued on Aug 12, 2009. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 12, 2009.