Organization
G & C BEHAVIORAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA CAMPBELL PMHNP (ORGANIZER)
(203) 528-5447
Entity
Organization
Contact information
Practice address
8504 SIX FORKS RD STE 204, RALEIGH, NC 27615-3265
(252) 629-4291
Mailing address
8504 SIX FORKS RD STE 204, RALEIGH, NC 27615-3265
(252) 629-4291
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/25/2021
Last updated
11/29/2022
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