Organization
COLLEGIAL BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OWEN WANG (OFFICE MANAGER)
(626) 808-6428
Entity
Organization
Contact information
Practice address
12740 SPRUCE TREE WAY STE 102, RALEIGH, NC 27614-8295
(919) 916-1160
(919) 488-4226
Mailing address
12740 SPRUCE TREE WAY STE 102, RALEIGH, NC 27614-8295
(919) 916-1160
(919) 488-4226
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05553
NC
Other
Enumeration date
01/01/2018
Last updated
10/17/2019
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