Organization
TECH TALK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE OMARI (OWNER)
(704) 244-9069
Entity
Organization
Contact information
Practice address
4840 QUARRYMAN RD, RALEIGH, NC 27610-6625
(704) 244-9069
Mailing address
4840 QUARRYMAN RD, RALEIGH, NC 27610-6625
(704) 244-9069
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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