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Organization
KEYSTONE COMMUNITY PARTNERS, INC.
Active
Organization
KEYSTONE COMMUNITY PARTNERS, INC.
Active
Other names
Keystone Community Partners, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA SMITH M.A, LCAS-A (ORGANIZATION ORGANIZER)
(919) 522-2508
Entity
Organization
Contact information
Practice address
2321 CRABTREE BLVD, SUITE 250, RALEIGH, NC 27604-1567
(919) 522-2508
Mailing address
3656 ROGERS RD, SUITE 177, WAKE FOREST, NC 27587-9306
(919) 832-1011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5920611
—
NC
05
—
6008615
—
NC
Enumeration date
08/19/2011
Last updated
05/26/2015
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