Organization
INDIGO INTEGRATIVE PSYCHIATRY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY STILLS PA-C (OWNER)
(828) 419-4490
Entity
Organization
Contact information
Practice address
4030 WAKE FOREST RD, RALEIGH, NC 27609-0010
(828) 419-4490
Mailing address
4030 WAKE FOREST RD, RALEIGH, NC 27609-0010
(828) 419-4490
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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