Contact

We are a licensed facility in North Carolina.

Locations:
8512 Six Forks Rd, #101, Raleigh, NC 27615

7010 Hwy 751, #102, Durham, NC 27707

Email:
Phone: (919)277-0253 | Fax: (919)277-4627

Type of Referral Type of Referral Child Adult

Office Preference

Time Preference

Referral Source / Phone # (Or Self)

Therapist Preferences

Name

Address

Parent / Guardian Name (If Minor)

Gender

Date of Birth

School/Grade (If Minor)

Phone Number

Email Address