Organization
ACHIM CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEEMIA HURST SHAW LCSW (CEO)
(919) 931-1634
Entity
Organization
Contact information
Practice address
8617 BOYSENBERRY LN, RALEIGH, NC 27616-6620
(919) 931-1634
Mailing address
PO BOX 40758, 8617 BOYSENBERRY LANE, RALEIGH, NC 27629-0758
(919) 934-1634
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C007496
NC
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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