Organization
DECASSI FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELVA DOUGLAS (OWNER)
(919) 633-9403
Entity
Organization
Contact information
Practice address
114 NEW EDITION CT, CARY, NC 27511-4449
(919) 633-9403
(919) 650-1420
Mailing address
114 NEW EDITION CT, CARY, NC 27511-4449
(919) 633-9403
(919) 650-1420
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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