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Organization
ABC FOR LIFE, LLC
Active
Organization
ABC FOR LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CESIAH E HERNANDEZ PSYD (MANAGER)
(305) 343-8730
Entity
Organization
Contact information
Practice address
1140 KILDAIRE FARM RD STE 108-2, CARY, NC 27511-4562
(305) 343-8730
Mailing address
411 GRANDE HEIGHTS DR, CARY, NC 27513-3155
(305) 343-8730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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