Organization
MIND & MANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZEAN KING (CEO)
(443) 949-6710
Entity
Organization
Contact information
Practice address
3664 GENESIS LN, WAKE FOREST, NC 27587-6088
(443) 538-7275
Mailing address
3664 GENESIS LN, WAKE FOREST, NC 27587-6088
(443) 538-7275
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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