Organization
CEIBA COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED GONZALEZ CCS, LCAS (EXECUTIVE DIRECTOR)
(919) 844-6348
Entity
Organization
Contact information
Practice address
3509 HAWORTH DR, SUITE 304, RALEIGH, NC 27609-7238
(919) 844-6348
(919) 844-6349
Mailing address
3509 HAWORTH DR, SUITE 304, RALEIGH, NC 27609-7238
(919) 873-1551
(919) 873-1512
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005447
—
NC
Enumeration date
02/09/2007
Last updated
07/24/2014
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