Organization · Type 2 NPI
Destiny Home, Inc. #2
Adolescent and Children Mental Health Clinic/Center · Raleigh, NC
Practice location
1708 Vintage Rd
Raleigh, NC 27610-3187
Fax (919) 231-3736
Mailing address
234 Seven Oaks Rd
Durham, NC 27704-1125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | MHL-032-487 (NC) |
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 1295965473
Destiny Home, Inc. #2's National Provider Identifier is 1295965473, issued on Jul 21, 2009. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Raleigh, NC. The record was last updated on Jul 21, 2009.