Organization Name: | NC CENTER FOR RESILIENCY |
NPI Number: | 1073901583 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY JEFFS (OWNER) |
Mailing Address: | 205 W Main St Suite 205 Carrboro |
State: | NC US |
Postal Code: | 275102088 |
Phone Number: | 9193232071 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2015 |
NPI Last Update Date: | 01/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 7954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |