NPI 1013196948
Infants, Children, Adults, Adolescents/Juveniles, LLC
Practice location
- Address
- 2707 N Roxboro St, Durham, NC 27704-4351
- Phone
- (919) 201-0052
- Mailing address
- PO Box 15928, Durham, NC 27704-0928
Authorised official
- Name
- Alicia Michelle Elder
- Title
- Owner/Ceo
- Phone
- (919) 201-0052
Registered specialties (2)
Case Management Agency
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1013196948
- Entity type
- Organization
- NPI issued
- 27 Oct 2007
- Record last updated
- 12 Mar 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.