| Capital Behavioral Health Nc Inc | |
|
428 E Stallings St Clayton NC 27520-2016 | |
| (919) 696-6071 | |
| Not Available |
| Full Name | Capital Behavioral Health Nc Inc |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 428 E Stallings St, Clayton, North Carolina |
| Authorized Official Name and Position | Ignacio Kirk (OWNER/CEO) |
| Authorized Official Contact | 9196966071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Behavioral Health Nc Inc 7220 Aquinas Ave Raleigh NC 27617-6712 Ph: (919) 696-6071 | Capital Behavioral Health Nc Inc 428 E Stallings St Clayton NC 27520-2016 Ph: (919) 696-6071 |
| NPI Number | 1689492035 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 11/09/2025 |
| Certification Date | 11/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689492035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (* (Not Available)) | Primary |
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