Organization
COMMUNITY FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH RAYNOR (OFFICE MANAGER)
(336) 501-4656
Entity
Organization
Contact information
Practice address
8004 LINVILLE RD STE C2, OAK RIDGE, NC 27310-9812
(703) 888-7728
Mailing address
8004 LINVILLE RD # 14, OAK RIDGE, NC 27310-9811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083366496
SOCIAL WORKER/CLINICAL
NC
01
—
1366815755
SOCIAL WORKER/CLINICAL
NC
Enumeration date
01/27/2022
Last updated
01/27/2022
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