Organization
CITIZENS BEHAVIORAL HEALTH LLC
Active
Organization
CITIZENS BEHAVIORAL HEALTH LLC
Active
Parent organization
CITIZENS BEHAVIORAL HEALTH LLC
Other names
CITIZENS COMMUNITY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITIZENS BEHAVIORAL HEALTH LLC
Authorized official
DANIEL JACK (CEO)
(919) 633-9397
Entity
Organization
Contact information
Practice address
5540 CENTERVIEW DR, RALEIGH, NC 27606-3363
(919) 633-9397
Mailing address
4220 BEACON CREST WAY, RALEIGH, NC 27604-8318
(919) 633-9397
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/11/2026
Last updated
06/16/2026
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