Organization
CHARIS FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK GREEN D.MIN, LMFT (FOUNDER)
(919) 556-9141
Entity
Organization
Contact information
Practice address
9621 SIX FORKS RD, RALEIGH, NC 27615-1628
(919) 671-4374
Mailing address
7716 FALL BRANCH CT, WAKE FOREST, NC 27587-8719
(919) 556-9141
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3964
NC
106H00000X
Marriage & Family Therapist
488
NC
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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