NPI 1093021115

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Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Durham, NC

Practice location

Address: 917 Lancaster St, Durham, NC 27701-1551
Phone: (919) 450-5640

Authorised official

Name: Ben Johnson
Title: Director of Ops
Phone: (919) 450-5640

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence MHL032544 (NC)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1093021115
Entity type: Organization
NPI issued: 26 Aug 2010
Record last updated: 26 Aug 2010

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.