Organization
CB RECOVERY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EUGENIA VALISHA DAVIS LPC, LCAS (PROGRAM DIRECTOR)
(919) 585-4486
Entity
Organization
Contact information
Practice address
21 ANNA DRIVE, SUITE 105 AND 106, CLAYTON, NC 27520-2181
(919) 585-5020
(919) 550-5175
Mailing address
901 TOWN CENTRE BLVD, SUITE 120, CLAYTON, NC 27520-2181
(919) 585-5020
(919) 550-5175
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303420
—
NC
05
—
8303420P
—
NC
05
—
8303420Q
—
NC
Enumeration date
04/25/2012
Last updated
07/21/2022
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