Organization · Type 2 NPI

Capital Behavioral Health NC Inc

Emotionally Disturbed Childrens' Residential Treatment Facility · Clayton, NC

NPI number 1689492035 Active

Practice location

428 E Stallings St
Clayton, NC 27520-2016

Call (919) 696-6071 Map

Mailing address

7220 Aquinas Ave
Raleigh, NC 27617-6712

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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NPI record

NPI: 1689492035
Entity type: Organization (Type 2)
Issued: Oct 2, 2024
Last updated: Nov 9, 2025
Status: Active

Other names

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Capital Behavioral Health NC Inc · doing business as
Capital Behavioral Health NC Inc · doing business as

Authorized official

Ignacio Kirk
Owner/ceo
(919) 696-6071

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689492035

Capital Behavioral Health NC Inc's National Provider Identifier is 1689492035, issued on Oct 2, 2024. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Clayton, NC. The record was last updated on Nov 9, 2025.