Organization
BAMYLINE WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN KIRUJA BARINE LCMHC (OWNER)
(919) 221-1521
Entity
Organization
Contact information
Practice address
4909 WATERS EDGE DR, SUITE 104, RALEIGH, NC 27606
(919) 221-1521
Mailing address
916 WINDEMERE LANE, WAKE FOREST, NC 27587
(919) 221-1521
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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