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Organization
RWA CENTER
Active
Organization
RWA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TISHANNA FIELDS (OWNER/ OPERATOR)
(919) 928-2297
Entity
Organization
Contact information
Practice address
11470 US 15-501 HWY N, CHAPEL HILL, NC 27517
(919) 928-2297
Mailing address
1000 PARK FORTY PLZ STE 470, DURHAM, NC 27713-5259
(919) 928-2297
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
NULL
101YP1600X
Pastoral Counselor
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
—
NULL
225XM0800X
Mental Health Occupational Therapist
—
—
252Y00000X
Early Intervention Provider Agency
—
NULL
Other
Enumeration date
09/01/2016
Last updated
10/06/2016
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