# I AM LIGHT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386368850
- **Authorized official:** ANQUINARTA LEE B.A., MA ED., NCC (OWNER)
- **Authorized official phone:** (910) 301-7752

## Contact information

- **Practice address:** 4813 CASTLE HILL RD, RALEIGH, NC 27616-6273
- **Practice address phone:** (910) 301-7752
- **Mailing address:** 4813 CASTLE HILL RD, RALEIGH, NC 27616-6273
- **Mailing address phone:** (910) 301-7752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2022
- **Last updated:** 09/28/2022