| The Broken Crayon Initiative | |
|
2443 Lynn Rd Ste 112 Raleigh NC 27612-6759 | |
| (919) 968-0330 | |
| (919) 910-5546 |
| Full Name | The Broken Crayon Initiative |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2443 Lynn Rd Ste 112, Raleigh, North Carolina |
| Authorized Official Name and Position | Lisette Mckenzie (OWNER) |
| Authorized Official Contact | 9199680330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Broken Crayon Initiative 6 Atlantic Ave Benson NC 27504-7852 Ph: (919) 798-5622 | The Broken Crayon Initiative 2443 Lynn Rd Ste 112 Raleigh NC 27612-6759 Ph: (919) 968-0330 |
| NPI Number | 1861173486 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861173486 | NPI | - | NPPES |
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