# ADOLESCENT,CHILD & ADULT PSYCHIATRY

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

## Provider details

- **NPI number:** 1457519514
- **Authorized official:** DR. SHAHEDA FATIMA MAROOF M.D. (PSYCHIATRIST)
- **Authorized official phone:** (919) 783-8377

## Contact information

- **Practice address:** 4041 ED DR \# 108, RALEIGH, NC 27612-8089
- **Practice address phone:** (919) 783-8377
- **Practice address fax:** (866) 347-8377
- **Mailing address:** 4041 ED DR \# 108, RALEIGH, NC 27612-8089
- **Mailing address phone:** (919) 783-8377
- **Mailing address fax:** (866) 347-8377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 28114 | NC | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 28114 | NC | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 05/27/2008